Individual provider Active NPI

Rachel R. Tischinski, O.D.

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1073701215
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2002019562 Issued in MO
Practice address
211 NE 54TH Street
Suite 202
Kansas City, MO 64118-4337
Phone
(816) 455-2020
Fax
(816) 459-5690
NPI assigned
Oct 12, 2007
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2002019562 MO Primary

Addresses

Primary practice location

211 NE 54TH Street
Suite 202
Kansas City, MO 64118-4337

Mailing address

211 NE 54TH Street
Suite 202
Kansas City, MO 64118-4337
Phone (816) 455-2020

Other names 1

  • Rachel R. Elvambuena Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000498 MO Practitioner - Optometry 8729131305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perfect Sense Eye Center PCGroup PAC ID 2466505136, 2 clinicians
Perfect Sense Eye Center St. Joe, LLCGroup PAC ID 7012911936, 3 clinicians

Practice addresses (Care Compare)

211 NE 54TH St
Kansas City, MO 64118-4337
Phone (816) 455-2020

3201 Ashland Ave
Saint Joseph, MO 64506-1543
Phone (816) 279-7015

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.7

Merit-based Incentive Payment System (MIPS)

Final score
93.3 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Sense Eye Center PC CurrentSince May 12, 2009 Accepting new patients
Perfect Sense Eye Center St. Joe, LLC CurrentSince Jul 4, 2009 Accepting new patients

Locations

211 NE 54th St
Ste 202
Kansas City, MO 64118
Phone (816) 455-2020

3201 Ashland Ave
Saint Joseph, MO 64506
Phone (816) 279-0079

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.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1073701215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NE 54TH STREET",
            "address_2": "SUITE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184337",
            "telephone_number": "816-455-2020",
            "fax_number": "816-459-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE 54TH STREET",
            "address_2": "SUITE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184337",
            "telephone_number": "816-455-2020",
            "fax_number": "816-459-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCHINSKI",
        "first_name": "RACHEL",
        "middle_name": "R.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002019562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ELVAMBUENA",
            "middle_name": "R.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.