Individual provider Active NPI

James V. Allen, MD

  • Dermatology Physician
  • Leawood, KS
National Provider Identifier
1548266554
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22396 Issued in KS
Practice address
11301 Nall Ave Ste 205
Leawood, KS 66211-1774
Phone
(913) 451-5934
Fax
(913) 451-4716
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X RJ47 MO
Dermatology Physician 207N00000X 22396 KS Primary

Addresses

Primary practice location

11301 Nall Ave Ste 205
Leawood, KS 66211-1774

Mailing address

2200 SW 6TH Ave Ste 104
Topeka, KS 66606-1707
Phone (785) 354-8518

Other practice location 1

19101 E Valley View Pkwy Ste A
Independence, MO 64055-6907
Phone (816) 795-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071030000481 KS Practitioner - Dermatology 2163519612 Reassigns benefits to 1 organization
I20190917002227 MO Practitioner - Dermatology 2163519612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
80.11
Promoting interoperability
97
Improvement activities
40
Cost
72.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22396KSMDDermatology Physician
RJ47MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Clinic PA CurrentSince Mar 1, 2014 Accepting new patients
Kansas Medical Clinic, PA PastSince Feb 23, 2020 Accepting new patients

Locations

11301 Nall Ave
Ste 205
Leawood, KS 66211
Phone (913) 451-5934

2200 SW 6th Ave
Ste 104
Topeka, KS 66606
Phone (785) 354-8518

2200 SW 6th Ave
Topeka, KS 66606
Phone (785) 295-0956

19101 E Valley View Pkwy
Ste A
Independence, MO 64055
Phone (816) 478-1830

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1548266554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE STE 104",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 NALL AVE STE 205",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111774",
            "telephone_number": "913-451-5934",
            "fax_number": "913-451-4716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19101 E Valley View Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556907",
            "country_code": "US",
            "telephone_number": "816-795-3353",
            "fax_number": "816-795-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAMES",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "RJ47",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "22396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.