Individual provider Active NPI

Lee A Reussner, MD

  • Specialist
  • Lawrence, KS
National Provider Identifier
1235109364
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-24959 Issued in KS
Practice address
1112 W 6TH St
Suite 216
Lawrence, KS 66044-2215
Phone
(785) 841-1107
Fax
(785) 841-1173
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-24959 KS Primary

Addresses

Primary practice location

1112 W 6TH St
Suite 216
Lawrence, KS 66044-2215

Mailing address

1112 W 6TH St
Suite 216
Lawrence, KS 66044-2215
Phone (785) 841-1107

Other identifiers 1

IdentifierTypeStateIssuer
100157220AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000201 KS Practitioner - Otolaryngology 6305886722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Otolaryngology Associates, LLCGroup PAC ID 2466349865, 12 clinicians

Practice addresses (Care Compare)

1112 W 6TH St
Suite 216
Lawrence, KS 66044-2249
Phone (785) 841-1107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24959KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Otolaryngology Associates, LLC Specialist CurrentSince Aug 1, 1994 Accepting new patients
Reed Medical Group Mdvip Affiliate Corporation PastSince Jul 1, 2017 Accepting new patients

Locations

1112 W 6th St
Ste 216
Lawrence, KS 66044
Phone (785) 841-1107

1302 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-2252

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1235109364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 216",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-841-1107",
            "fax_number": "785-841-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 216",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-841-1107",
            "fax_number": "785-841-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUSSNER",
        "first_name": "LEE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-24959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100157220A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.