NPIMap

Individual provider Active NPI

Spyros Michael Siscos, MD

  • MOHS-Micrographic Surgery Physician
  • Kansas City, MO
National Provider Identifier
1154826204
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2023010353 Issued in MO
Practice address
2101 Charlotte St
Kansas City, MO 64108-2727
Phone
(816) 404-7810
NPI assigned
Mar 29, 2018
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A177736 CA
MOHS-Micrographic Surgery Physician 207ND0101X A177736 CA
MOHS-Micrographic Surgery Physician 207ND0101X 2023010353 MO Primary
Internal Medicine Physician 207R00000X 9409573 KS

Addresses

Primary practice location

2101 Charlotte St
Kansas City, MO 64108-2727

Mailing address

1868 Kelton Ave Apt 202
Los Angeles, CA 90025-6759
Phone (913) 744-9472

Other practice location 1

200 Medical Plaza Driveway Suite 465
Los Angeles, CA 90095-0001
Phone (913) 744-9472

Other names 1

  • Dr. Michael Siscos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230616000449 MO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7416205455 Reassigns benefits to 5 organizations
I20230616000679 KS Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7416205455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Springs City HospitalGroup PAC ID 7315847209, shared by 5 NPIs, 39 clinicians
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision73
Removal of tissue1-10
Removal of skin lesions211
Removal of skin cancer160
Removal or shaving of skin growth42
Skin biopsy82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177736CAMDDermatology Physician
9409573KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatologic Surgery, P.a. Mohs-Micrographic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Excelsior Springs City Hospital CurrentSince Jul 1, 2023 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients
University Health Physicians Internal Medicine CurrentSince Aug 14, 2023 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Dec 17, 2025 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
Ads Healthcare LLC PastSince Jul 1, 2023 Accepting new patients

Locations

6901 W 121st St
Overland Park, KS 66209
Phone (913) 661-1755

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

6410 N Cosby Ave
Kansas City, MO 64151
Phone (816) 452-2200

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHJIBA

Organizations & group practices 9

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 7

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1154826204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 KELTON AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256759",
            "telephone_number": "913-744-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082727",
            "telephone_number": "816-404-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Plaza Driveway Suite 465",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900950001",
            "country_code": "US",
            "telephone_number": "913-744-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISCOS",
        "first_name": "SPYROS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A177736",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A177736",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2023010353",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9409573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "SISCOS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.