Individual provider Active NPI

Daniel Richard Mrosak, MD

  • Surgery Physician
  • Richmond, MO
National Provider Identifier
1427026475
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R4D09 Issued in MO
Practice address
904 Wollard Blvd
Richmond, MO 64085-2229
Phone
(660) 259-4383
NPI assigned
Mar 8, 2006
Last updated
Jan 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R4D09 MO Primary

Addresses

Primary practice location

904 Wollard Blvd
Richmond, MO 64085-2229

Mailing address

PO Box 932079
Kansas City, MO 64193-0001
Phone (816) 470-5432

Other identifiers 1

IdentifierTypeStateIssuer
201903622MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070424000430 MO Practitioner - General Surgery 2163527953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 State St
Lexington, MO 64067-1107
Phone (816) 470-5432

1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (816) 470-5432

904 Wollard Blvd
Richmond, MO 64085-2229
Phone 8164705432128

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux27
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4D09MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ray County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

Interoperability endpoints

  • Direct secure messaging: dmrosak746286@direct.ochin.org

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1427026475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932079",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930001",
            "telephone_number": "816-470-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852229",
            "telephone_number": "660-259-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROSAK",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R4D09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201903622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MO

Sources for this page

Verify at the official NPI Registry.