Active NPI
Christopher Chase Surek, D.O.
- Plastic Surgery Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 012856
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-8500 - Phone
- (216) 296-3715
- NPI assigned
- Jan 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 9407635 | KS | |
| Plastic Surgery Physician | 208200000X | 012856 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-8500
Mailing address
8706 W 132ND PL
Overland Park, KS 66213-4625
Phone (916) 827-3387
Other practice location 1
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Kansas City College of Medicine and Surgery, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology and Skin Cancer Specialists LLC
Practice addresses (Care Compare)
11550 Granada St
Leawood, KS 66211-1453
Phone (913) 451-7546
3265 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 524-4747
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012856 | OH | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin & Mohs Surgery Center, LLC | Current | Accepting new patients | |
| Dermatology and Skin Cancer Specialists, LLC | Current | Accepting new patients | |
| Dermatology and Skin Cancer Specialists, LLC. | Current | Accepting new patients | |
| Skin & Mohs Surgery Center, LLC | Current | Accepting new patients |
Locations
11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546
7901 W 135th St
Overland Park, KS 66223
Phone (913) 451-7546
3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Leawood, KS
- NPI 1205880846
-
- Dermatology Physician
- Lees Summit, MO
- NPI 1366632697
-
- Ambulatory Surgical Clinic/Center
- Leawood, KS
- NPI 1669577524
-
- Ambulatory Surgical Clinic/Center
- Lees Summit, MO
- NPI 1881875227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114264637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8706 W 132ND PL",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662134625",
"telephone_number": "916-827-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441958500",
"telephone_number": "216-296-3715"
}
],
"practiceLocations": [
{
"address_1": "3901 Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608500",
"country_code": "US",
"telephone_number": "913-588-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUREK",
"first_name": "CHRISTOPHER",
"middle_name": "CHASE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KS",
"license": "9407635",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OH",
"license": "012856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.