Individual provider Active NPI

Rebecca Leigh Chain, M.D.

  • Dermatology Physician
  • Overland Park, KS
National Provider Identifier
1376786780
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2013021739 Issued in MO
Practice address
10777 Nall Ave Ste 220
Overland Park, KS 66211-1359
Phone
(913) 469-0110
NPI assigned
Apr 15, 2009
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2013021739 MO Primary

Addresses

Primary practice location

10777 Nall Ave Ste 220
Overland Park, KS 66211-1359

Mailing address

10777 Nall Ave Ste 220
Overland Park, KS 66211-1359
Phone (913) 469-0110

Other practice location 1

5204 N Belt Hwy
Suite A
St. Joseph, MO 64506
Phone (816) 383-8180

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
I20150623002780 KS Practitioner - Dermatology 0840425393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Eastern Virginia Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants Midwest PAGroup PAC ID 1557367786, 3 clinicians

Practice addresses (Care Compare)

10777 Nall Ave
Suite 220
Overland Park, KS 66211-1359
Phone (913) 469-0110

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions758
Removal or shaving of skin growth1-10
Skin biopsy268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants Midwest P.a. CurrentSince Aug 4, 2015 Accepting new patients

Locations

10777 Nall Ave
Ste 220
Overland Park, KS 66211
Phone (913) 469-0110

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00087

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1376786780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 NALL AVE STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111359",
            "telephone_number": "913-469-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 NALL AVE STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111359",
            "telephone_number": "913-469-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5204 N Belt Hwy",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "St. Joseph",
            "state": "MO",
            "postal_code": "64506",
            "country_code": "US",
            "telephone_number": "816-383-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIN",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2013021739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.