Derek Douglas Kane, MD MS

Key facts

NPI

1508942897

Entity type

Individual (NPI type 1)

Primary specialty

Surgery Physician 208600000X

License

11265 (ND)

Practice address

310 N 10TH St
Bismarck, ND 58501-4516

Phone

(701) 877-2040

Fax

(701) 639-2465

NPI assigned

Oct 29, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Infinity Medical Management LLC Multi-Specialty Clinic/Center · Bismarck, ND · NPI 1366116287
  Medicare reassignment Care Compare group NPD ND
• Brightside Surgical, LLC Ambulatory Surgical Clinic/Center · Bismarck, ND · NPI 1962059915
  NPD (past) SURGERY

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph'S Hospital and Health Center Critical Access Hospital · Dickinson, ND · NPI 1992947956
  Care Compare affiliation Hospital
• St. Alexius Medical Center General Acute Care Hospital · Bismarck, ND · NPI 1306832654
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

General Surgery

Education

Rush Medical College of Rush University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinity Medical Management LLC (10 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Alexius Health Hospital · Bismarck, ND · CCN 350002
• CHI St Alexius Health Dickinson Hospital · Dickinson, ND · CCN 351336

Merit-based Incentive Payment System (MIPS)

Final score

91.54 of 100 (individual)

Quality

81.91

Promoting interoperability

94

Improvement activities

40

Cost

94.9

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derek.kane.1@25999.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2022.

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1508942897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N. 10TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-877-2040",
            "fax_number": "701-639-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 10TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014516",
            "telephone_number": "701-877-2040",
            "fax_number": "701-639-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "DEREK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "48821-020",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "11265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

• Kyle Kaiser, RN/NREMT-P
• Matthew Kalonick
• Victoria Kamara
• Cassondra Jo Kambeitz, MD
• Amy Marie Kaminski, MD
• Thomas P. Kapla, D.D.S.
• Arnela Karic, MS, LAPC
• Kevin A Karls, M.D.
• Kay L. Karnik, LSW, LPCC
• Anthony Robert Kasch, M.D.

All providers in Bismarck, ND · Surgery Physician in North Dakota