NPIMap

Individual provider Active NPI

Kathleen Rae McBratney, MD

  • Specialist
  • Lansing, KS
National Provider Identifier
1063440303
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-20753 Issued in KS
Practice address
1004 Progress Drive
Suite 200
Lansing, KS 66043-5323
Phone
(913) 651-3111
Fax
(913) 651-3103
NPI assigned
Jun 28, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-20753 KS Primary

Addresses

Primary practice location

1004 Progress Drive
Suite 200
Lansing, KS 66043-5323

Mailing address

1004 Progress Drive
Suite 200
Lansing, KS 66043-5323
Phone (913) 651-3111

Other identifiers 4

IdentifierTypeStateIssuer
12310032OtherKSMCB BCBS KC
632670OtherKSMCB FIRSTGUARD
052082OtherKSMCB BCBS INV PROV #
2005349OtherKSMCB AETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000805 KS Practitioner - Family Practice 1052358868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Family Care LLCGroup PAC ID 6406884436, 4 clinicians

Practice addresses (Care Compare)

1004 Progress Dr
Suite 200
Lansing, KS 66043-6323
Phone (913) 651-3111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions21
Removal of nail tissue1-10
Removal or shaving of skin growth14
Skin biopsy21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-20753KSMDSpecialist

Interoperability endpoints

  • Direct secure messaging: kathleen.mcbratney@khindirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1063440303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PROGRESS DRIVE",
            "address_2": "SUITE 200",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660435323",
            "telephone_number": "913-651-3111",
            "fax_number": "913-651-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PROGRESS DRIVE",
            "address_2": "SUITE 200",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660435323",
            "telephone_number": "913-651-3111",
            "fax_number": "913-651-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRATNEY",
        "first_name": "KATHLEEN",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-20753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCB BCBS KC",
            "identifier": "12310032",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCB FIRSTGUARD",
            "identifier": "632670",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCB BCBS INV  PROV #",
            "identifier": "052082",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCB AETNA",
            "identifier": "2005349",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, KS

Sources for this page

Verify at the official NPI Registry.