Active NPI
Nicholas Crowley, MD
- Dermatology Physician
- Kansas City, MO
National Provider Identifier
1114331949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2014016471
- Practice address
- 8380 N Tullis Ave
Kansas City, MO 64158 - Phone
- (913) 451-7546
- Fax
- (214) 736-0512
- NPI assigned
- Jun 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2014016471 | MO | Primary |
Addresses
Primary practice location
8380 N Tullis Ave
Kansas City, MO 64158
Mailing address
11550 Granada St
Leawood, KS 66211-1453
Phone (913) 451-7546
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Missouri, Columbia School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8380 N Tullis Ave
Kansas City, MO 64158-5113
Phone (913) 451-7546
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 | 11 |
| Removal of skin lesions | 869 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014016471 | MO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology and Skin Cancer Specialists, LLC. | Dermatology | Current | Accepting new patients |
| Dermatology and Skin Cancer Specialists, LLC | Dermatology | Current | Accepting new patients |
| Skin & Mohs Surgery Center, LLC | Current | Accepting new patients |
Locations
11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546
8380 N Tullis Ave
Kansas City, MO 64158
Phone (816) 524-4747
3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747
Organizations & group practices 3
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
- Lees Summit, MO
- NPI 1366632697
-
- Ambulatory Surgical Clinic/Center
- Lees Summit, MO
- NPI 1881875227
-
- Dermatology Physician
- Leawood, KS
- NPI 1205880846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1114331949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11550 GRANADA ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111453",
"telephone_number": "913-451-7546",
"fax_number": "214-736-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 N TULLIS AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64158",
"telephone_number": "913-451-7546",
"fax_number": "214-736-0512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2014016471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.