Individual provider Active NPI

Deborah B Ohlhausen, MD

  • Dermatology Physician
  • Kansas City, MO
National Provider Identifier
1487620191
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
109156 Issued in MO
Practice address
5330 N Oak Trfy
Ste 201
Kansas City, MO 64118-4699
Phone
(816) 454-0666
Fax
(816) 454-1694
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 109156 MO Primary

Addresses

Primary practice location

5330 N Oak Trfy
Ste 201
Kansas City, MO 64118-4699

Mailing address

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230-5826
Phone (214) 420-0650

Other identifiers 1

IdentifierTypeStateIssuer
070013086OtherMORAILROAD MEDICARE

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
I20100506000322 MO Practitioner - Dermatology 0941338206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Specialists LLCGroup PAC ID 5294721486, 44 clinicians

Practice addresses (Care Compare)

3265 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 524-4747

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1439
Removal or shaving of skin growth1-10
Skin biopsy109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109156MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Dermatology and Skin Cancer Specialists, LLC Dermatology CurrentSince Aug 1, 2017 Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. Dermatology CurrentSince Aug 1, 2017 Accepting new patients
Midwest Medical Specialists PA Dermatology Past Accepting new patients

Locations

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

Organizations & group practices 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1487620191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD",
            "address_2": "STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "214-420-0650",
            "fax_number": "214-736-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRFY",
            "address_2": "STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184699",
            "telephone_number": "816-454-0666",
            "fax_number": "816-454-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLHAUSEN",
        "first_name": "DEBORAH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "109156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070013086",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.