Active NPI
Brian Menkhaus, MD
- Anatomic Pathology & Clinical Pathology Physician
- Sheridan, WY
National Provider Identifier
1447516240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 10472A
- Practice address
- 1401 W 5TH St
Sheridan, WY 82801-2705 - Phone
- (307) 672-1041
- Fax
- (307) 675-2603
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Sheridan, WY
- NPI 1235266750
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of Washington School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sheridan Pathology Associates PC
Practice addresses (Care Compare)
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1040
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161018002706 | WY | Practitioner - Pathology | 7315235710 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Pathology Associates PC | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
Locations
1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 10472A | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1401 W 5TH St
Sheridan, WY 82801-2705
Mailing address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2016.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1447516240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W 5TH ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012705",
"telephone_number": "307-672-1041",
"fax_number": "307-675-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W 5TH ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012705",
"telephone_number": "307-672-1041",
"fax_number": "307-675-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENKHAUS",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WY",
"license": "10472A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.