Individual provider Active NPI

Shawn R Sabin, M.D.

  • MOHS-Micrographic Surgery Physician
  • Leawood, KS
National Provider Identifier
1427002575
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
04-27885 Issued in KS
Practice address
11550 Granada LN
Leawood, KS 66211-1453
Phone
(913) 451-7546
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 04-27885 KS Primary

Addresses

Primary practice location

11550 Granada LN
Leawood, KS 66211-1453

Mailing address

11550 Granada LN
Leawood, KS 66211-1453
Phone (913) 451-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050310000331 MO Practitioner - Dermatology 3476507658 Reassigns benefits to 1 organization
I20111214000970 KS Practitioner - Dermatology 3476507658 Reassigns benefits to 1 organization
I20210915001480 IA Practitioner - Dermatology 3476507658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Dermatology Clinic PLCGroup PAC ID 2961394713, 22 clinicians

Practice addresses (Care Compare)

2010 Philadelphia St
Suite 1
Ames, IA 50010-8784
Phone (515) 232-8844

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision32
Removal of skin lesions175
Removal of skin cancer729
Removal or shaving of skin growth1-10
Skin biopsy116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-27885KSMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Dermatology Clinic PLC Current Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. CurrentSince Jul 21, 2003 Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Iowa Dermatology Clinic PLC Mohs-Micrographic Surgery Current Accepting new patients

Locations

2010 Philadelphia St
Ste 1
Ames, IA 50010
Phone (515) 232-8844

6000 University Ave
Ste 230
West Des Moines, IA 50266
Phone (515) 222-0677

6000 University Ave
Ste 350
West Des Moines, IA 50266
Phone (515) 226-8484

6800 Lake Dr
Ste 285
West Des Moines, IA 50266
Phone (515) 570-3980

11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546

8380 N Tullis Ave
Kansas City, MO 64158
Phone (816) 524-4747

3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747

Interoperability endpoints

  • Direct secure messaging: s.sabin@iowaderm.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1427002575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 GRANADA LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "913-451-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 GRANADA LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "913-451-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "SHAWN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "04-27885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.