Individual provider Active NPI

Ramsay S Kurban, MD

  • Specialist
  • Lebanon, PA
National Provider Identifier
1407854490
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD043706L Issued in PA
Practice address
845 Norman Dr
Lebanon, PA 17042-7445
Phone
(717) 273-8091
Fax
(717) 273-9081
NPI assigned
Jul 13, 2005
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD043706L PA Primary
Procedural Dermatology Physician 207NS0135X MD043706L PA
Dermatopathology (Pathology) Physician 207ZD0900X MD043706L PA

Addresses

Primary practice location

845 Norman Dr
Lebanon, PA 17042-7445

Mailing address

845 Norman Dr
Lebanon, PA 17042-7445
Phone (717) 273-8091

Other identifiers 5

IdentifierTypeStateIssuer
671850OtherPABS IND PROVIDER #
671850HE5OtherPAMCB/P-TAN
0012800250001MedicaidPA
02024202OtherPACAP BC IND PROVIDER #
1520324OtherPAGATEWAY INS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101122000943 PA Practitioner - DermatologyPractitioner - Pathology 4385631159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

845 Norman Dr
Lebanon, PA 17042-7444
Phone 71727380911005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision105
Removal of skin lesions1008
Removal or shaving of skin growth428
Skin biopsy585

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Lebanon LTD Specialist CurrentSince Jul 18, 1991 Accepting new patients
Dermatology Associates of Lebanon, LTD Specialist CurrentSince Jul 18, 1991 Accepting new patients

Locations

845 Norman Dr
Lebanon, PA 17042
Phone (717) 273-8091

Interoperability endpoints

  • Direct secure messaging: rkurban@lebderm.medentdirect.com

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

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1407854490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427445",
            "telephone_number": "717-273-8091",
            "fax_number": "717-273-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427445",
            "telephone_number": "717-273-8091",
            "fax_number": "717-273-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURBAN",
        "first_name": "RAMSAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD043706L",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD043706L",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "PA",
            "license": "MD043706L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS  IND PROVIDER #",
            "identifier": "671850",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCB/P-TAN",
            "identifier": "671850HE5",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012800250001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BC IND PROVIDER #",
            "identifier": "02024202",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY INS PROVIDER #",
            "identifier": "1520324",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.