Kenneth Daniel Saul, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

22764 Issued in MS

Practice address

5002 Highway 39 N BLDG a
Meridian, MS 39301-1078

Phone

(601) 512-0500

Fax

(601) 512-0505

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Dermatology

Education

University of Mississippi School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saul Dermatology P.a.Group PAC ID 0244529105, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Merit-based Incentive Payment System (MIPS)

Final score

98.01 of 100Reported as group

Quality

96.93

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sauldermatology.kennethsaul@133849.advancedmd-direct.com

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.

• Saul Dermatology PA

  • Medical Specialty Clinic/Center
  • Meridian, MS
  • NPI 1932553245
  Medicare reassignment Care Compare group NPD Authorized official
• Don S Davis MD PA

  • Medical Specialty Clinic/Center
  • Meridian, MS
  • NPI 1174798334
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1295022861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 39 N",
            "address_2": "BLDG A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011078",
            "telephone_number": "601-512-0500",
            "fax_number": "601-512-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 39 N BLDG A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011078",
            "telephone_number": "601-512-0500",
            "fax_number": "601-512-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "KENNETH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "22764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "497603ZUU",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Lewis Sanders
• Patricia M Sandusky, PH.D
• Amanda Satcher, PHARMD
• Logan Rae Satterfield
• Saul Dermatology PA
• Christy L Savell, NP
• Joseph T Sayers, CRNA
• Mary Alice Schaefer, D.O.
• Caleb Schedule, DO
• Kenneth R Schneider, PH.D

• Dermatology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.

Verify at the official NPI Registry.