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Individual provider Active NPI

Celina C Bernabe, DO

  • Allergy & Immunology Physician
  • Overland Park, KS
National Provider Identifier
1063518546
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
28053 Issued in KS
Practice address
10787 Nall Ave
Suite 200
Overland Park, KS 66211-1375
Phone
(913) 491-3300
Fax
(913) 491-0904
NPI assigned
Sep 15, 2006
Last updated
Sep 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 28053 KS Primary

Addresses

Primary practice location

10787 Nall Ave
Suite 200
Overland Park, KS 66211-1375

Mailing address

10787 Nall Ave
Suite 200
Overland Park, KS 66211-1375
Phone (913) 491-3300

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
I20100804001154 KS Practitioner - Allergy/Immunology 0345346573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Care PAGroup PAC ID 4183729759, 4 clinicians

Practice addresses (Care Compare)

10787 Nall Ave
Suite 200
Overland Park, KS 66211-1371
Phone (913) 491-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.58

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
73.87
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28053KSMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Care, P.a. Allergy & Immunology CurrentSince Jul 17, 2000 Accepting new patients
Impact Orthopedics & Sports Medicine, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

10787 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 491-3300

Organizations & group practices 2

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 8

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1063518546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111375",
            "telephone_number": "913-491-3300",
            "fax_number": "913-491-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111375",
            "telephone_number": "913-491-3300",
            "fax_number": "913-491-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABE",
        "first_name": "CELINA",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KS",
            "license": "28053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.