Active NPI
Katie Ellen Dias, D.O.
- Family Medicine Physician
- Stanberry, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011007997
- Practice address
- 202 E Main St
Stanberry, MO 64489-1358 - Phone
- (660) 783-2192
- NPI assigned
- Apr 16, 2009
- Last updated
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200816196 | MO | |
| Family Medicine Physician | 207Q00000X | 2011007997 | MO | Primary |
Addresses
Primary practice location
202 E Main St
Stanberry, MO 64489-1358
Mailing address
PO Box 187
16 W 4TH
Grant City, MO 64456
Phone (660) 564-3322
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Physicians and Surgeons, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 E Main St
Mosaic Family Care Stanberry
Stanberry, MO 64489-1358
Phone (660) 783-2192
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Hospital & facility affiliations
- Mosaic Life Care Hospice
- Mosaic Medical Center Albany
- Mosaic Life Care at St Joseph
- Mosaic Medical Center - Maryville
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.47 of 100
- Quality
- 81.87
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 30.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200816196 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Center Association Inc | Current | Accepting new patients | |
| Northwest Medical Center Association, Inc | Current | Accepting new patients | |
| Tri-County Health Department | Past | Accepting new patients | |
| Northwest Medical Center Association, Inc | Past | Accepting new patients |
Locations
1607 E US Highway 136
Albany, MO 64402
Phone (660) 726-3333
705 N College St
Albany, MO 64402
Phone (660) 726-3941
202 E Main St
Stanberry, MO 64489
Phone (660) 783-2092
Interoperability endpoints
- katie.dias2@direct.mymlc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mosaic Medical Center Albany
- Medicare Defined Swing Bed Hospital Unit
- Albany, MO
- NPI 1124164322
-
dba Mosaic Anesthesia Albany
- Anesthesiology Physician
- Albany, MO
- NPI 1467642041
-
dba Mosaic Family Care Stanberry
- Rural Health Clinic/Center
- Stanberry, MO
- NPI 1750457149
-
- State or Local Public Health Clinic/Center
- Stanberry, MO
- NPI 1467554352
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
dba Mosaic Life Care
- Community Based Hospice Care Agency
- Saint Joseph, MO
- NPI 1912007006
-
- Critical Access Hospital
- Maryville, MO
- NPI 1265906663
-
dba Mosaic Medical Center Albany
- Critical Access Hospital
- Albany, MO
- NPI 1306893268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1497998744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"address_2": "16 W 4TH",
"city": "GRANT CITY",
"state": "MO",
"postal_code": "64456",
"telephone_number": "660-564-3322",
"fax_number": "660-564-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E MAIN ST",
"city": "STANBERRY",
"state": "MO",
"postal_code": "644891358",
"telephone_number": "660-783-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAS",
"first_name": "KATIE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "200816196",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2011007997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanberry, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.