Individual provider Active NPI

Mark H Fleischman, MD

  • MOHS-Micrographic Surgery Physician
  • Leawood, KS
National Provider Identifier
1215975867
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
430545 Issued in KS
Practice address
11550 Granada LN
Leawood, KS 66211-1453
Phone
(913) 451-7546
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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 430545 KS
Dermatology Physician 207N00000X 2004016900 MO
MOHS-Micrographic Surgery Physician 207ND0101X 2004016900 MO
MOHS-Micrographic Surgery Physician 207ND0101X 430545 KS Primary

Addresses

Primary practice location

11550 Granada LN
Leawood, KS 66211-1453

Mailing address

11550 Granada LN
Leawood, KS 66211-1453
Phone (913) 451-7546

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040920001214 MO Practitioner - Dermatology 5890763635 Reassigns benefits to 1 organization
I20051028000701 KS Practitioner - Dermatology 5890763635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Specialists LLCGroup PAC ID 5294721486, 44 clinicians

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

7901 W 135TH St
Overland Park, KS 66223-1201
Phone (913) 451-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision204
Removal of skin lesions3092
Removal of skin cancer922
Removal or shaving of skin growth1-10
Skin biopsy1437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430545KSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. Dermatology CurrentSince Jul 1, 2004 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

17067 S Outer Rd
Ste 200
Belton, MO 64012
Phone (816) 348-4270

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 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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1215975867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 GRANADA LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "913-451-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 GRANADA LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "913-451-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMAN",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "430545",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2004016900",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2004016900",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "430545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.