Individual provider Active NPI

Kaitlin Ann Schiavo, MD

  • Dermatology Physician
  • Columbia, MO
National Provider Identifier
1508248576
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2019010175 Issued in MO
Practice address
204 N Keene St Ste 100
Columbia, MO 65201-8136
Phone
(573) 442-2961
Fax
(573) 442-0421
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 2019010175 MO Primary

Addresses

Primary practice location

204 N Keene St Ste 100
Columbia, MO 65201-8136

Mailing address

204 N Keene St Ste 100
Columbia, MO 65201-8136
Phone (573) 442-0320

Other names 1

  • Kaitlin Ann Vogt Former name

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
I20190620000348 MO Practitioner - Dermatology 4981916939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of Columbia LLCGroup PAC ID 5991039208, 2 clinicians

Practice addresses (Care Compare)

204 N Keene St
Suite 100
Columbia, MO 65201-8136
Phone (573) 442-2961

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision63
Removal of tissue1-10
Removal of skin lesions1573
Removal or shaving of skin growth1-10
Skin biopsy566

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Columbia, LLC Single Specialty CurrentSince Jun 3, 2019 Accepting new patients

Locations

204 N Keene St
Ste 100
Columbia, MO 65201
Phone (573) 442-0320

Interoperability endpoints

  • Direct secure messaging: kschiavo@columbiamodermatology.emadirect.md

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.

Hospital & facility affiliations 4

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1508248576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N KEENE ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018136",
            "telephone_number": "573-442-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N KEENE ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018136",
            "telephone_number": "573-442-2961",
            "fax_number": "573-442-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIAVO",
        "first_name": "KAITLIN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2019010175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "VOGT",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.