Individual provider Active NPI

Steven R Unterman, M.D.

  • Ophthalmology Physician
  • Prairie Village, KS
National Provider Identifier
1447284880
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20599 Issued in KS
Practice address
3830 W 75TH St
Prairie Village, KS 66208-4128
Phone
(913) 384-1441
Fax
(913) 384-3437
NPI assigned
Jul 10, 2006
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20599 KS Primary
Ophthalmology Physician 207W00000X R3K23 MO

Addresses

Primary practice location

3830 W 75TH St
Prairie Village, KS 66208-4128

Mailing address

3830 W 75TH St
Prairie Village, KS 66208-4128
Phone (913) 384-1441

Other identifiers 2

IdentifierTypeStateIssuer
100113270BMedicaidKS
203043708MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081022000129 KS Practitioner - Ophthalmology 0143321026 Reassigns benefits to 1 organization
I20120114000016 MO Practitioner - Ophthalmology 0143321026

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid America Eye Center PAGroup PAC ID 6608882006, 2 clinicians

Practice addresses (Care Compare)

3830 W 75TH St
Prairie Village, KS 66208-4128
Phone (913) 384-1441

Merit-based Incentive Payment System (MIPS)

Final score
97.97 of 100Reported as group
Quality
95.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20599KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noe, Miller & Miller, LLC PastSince Jun 1, 1998 Accepting new patients
Physicians' Surgery Center, LLC Past Accepting new patients
Heart of America Eye Care PA Ophthalmology PastSince Sep 22, 2008 Accepting new patients
Eyecare Professionals, Inc PastSince Jul 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sru@maec.ecldirect.net

Organizations & group practices 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1447284880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084128",
            "telephone_number": "913-384-1441",
            "fax_number": "913-384-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084128",
            "telephone_number": "913-384-1441",
            "fax_number": "913-384-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERMAN",
        "first_name": "STEVEN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "20599",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R3K23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113270B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203043708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.