Dorothy Breault, M.D.
Individual provider Active NPI Family Medicine Physician · Concordia, KS
NPI 1245458256 · NPPES record last updated Mar 20, 2020
Key facts
- NPI
- 1245458256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0434629 (KS)
- Practice address
- 1100 Highland Dr
3Rd Floor
Concordia, KS 66901-3923 - Phone
- (785) 243-4272
- Fax
- (785) 243-4275
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cloud County Health Center Inc
Practice addresses (Care Compare)
155 W College Dr
Concordia, KS 66901-5207
Phone (785) 243-1234
311 Washington St
Clyde, KS 66938-9664
Phone (785) 243-4272
Hospital & facility affiliations
- Accessible Home Care, LLC
- Cloud County Home Health Agency
- Inmyhome, a Division of Occk, Inc
- Meadowlark Hospice
- Cloud County Health Center
- Salina Regional Health Center
- Clay County Medical Center
- Sunset Home Inc
- Park Villa
- Cloud County Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.54 of 100
- Quality
- 74.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 53.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101120000067 | KS | Practitioner - Family Practice | 2769678499 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud County Health Center Inc | Current |
Accepting new patients | |
| Cloud County Health Center Inc | Current |
Accepting new patients | |
| Cloud County Health Center Inc | Current |
Accepting new patients | |
| Sunset Home, Inc. | Past | Accepting new patients |
Locations
155 W College Dr
Concordia, KS 66901
Phone (785) 243-1234
311 Walnut St
Jamestown, KS 66948
Phone (785) 243-4272
Interoperability endpoints
- dorothy.breault@khindirect.org
- dorothy.breault@srhcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0434629 | KS | Yes |
Addresses
Primary practice location
1100 Highland Dr
3Rd Floor
Concordia, KS 66901-3923
Mailing address
1100 Highland Dr
3Rd Floor
Concordia, KS 66901-3923
Phone (785) 243-4272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200678800C | Medicaid | KS |
Other providers in Concordia, KS
- Terrance Alan Blackwood
- Carly Suzanne Bloomfield
- Anthony L Bombardier
- Bryan Christopher Bombardier
- Jason Branfort
- Mark E. Breault
- Mayra Alejandra Brooks
- Melanie Brown-Hanson
- Steven Allan Bryant
- Muhammad M Butt
All providers in Concordia, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.