Nancy Birenboim, M.D.

Individual provider Active NPI Nephrology Physician · Independence, MO

NPI 1346239100 · NPPES record last updated Sep 12, 2011

Key facts

NPI
1346239100
Entity type
Individual (NPI type 1)
Primary specialty
Nephrology Physician 207RN0300X
License
R5E73 (MO)
Practice address
19403 E 37TH Terrace CT S
Independence, MO 64057-2318
Phone
(816) 276-1701
Fax
(816) 350-3033
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nephrology
Also: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Kidney Specialists (7 clinicians)

Practice addresses (Care Compare)

11661 College Blvd
Suite 100
Overland Park, KS 66210-4104
Phone (913) 495-5517

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100 (group)
Quality
44.91
Improvement activities
40
Cost
44.15

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 IDStateProvider typePAC IDDetails
I20111101000091 KS Practitioner - Nephrology
Practitioner - Internal Medicine
4880587633 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R5E73 MO Yes

Addresses

Primary practice location

19403 E 37TH Terrace CT S
Independence, MO 64057-2318

Mailing address

6400 Prospect Ave
Suite 480
Kansas City, MO 64132-1100
Phone (816) 276-1700

Other identifiers

IdentifierTypeStateIssuer
100121860BMedicaidKS
202294419MedicaidMO

Other providers in Independence, MO

All providers in Independence, MO · Nephrology Physician in Missouri

Sources for this page

Verify at the official NPI Registry.