Individual provider Active NPI

Kara Brooks, MD

  • Dermatology Physician
  • Monroe, NC
National Provider Identifier
1548529001
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2016-00323 Issued in NC
Practice address
701 E Roosevelt Blvd Ste 200a
Monroe, NC 28112-4139
Phone
(704) 289-9448
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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 2016-00323 NC Primary

Addresses

Primary practice location

701 E Roosevelt Blvd Ste 200a
Monroe, NC 28112-4139

Mailing address

820 Springer Dr
Lombard, IL 60148-6413
Phone (815) 744-8554

Other names 1

  • Kara Mariko Luersen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20161025000953 NC Practitioner - Dermatology 3678798238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Hawaii John a. Burns School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

10512 Park Rd
Suite 113
Charlotte, NC 28210-8469
Phone (704) 289-9448

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision73
Removal of skin lesions1735
Removal of nail tissue1-10
Removal or shaving of skin growth23
Skin biopsy293

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA CurrentSince Mar 1, 2023 Accepting new patients
Pinnacle Dermatology, SC Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Skin Surgery Center PA Dermatology CurrentSince Mar 1, 2023 Accepting new patients

Locations

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

10512 Park Rd
Ste 113
Charlotte, NC 28210
Phone (704) 289-9448

10512 Park Rd
Charlotte, NC 28210
Phone (704) 541-6077

701 E Roosevelt Blvd
Ste 200A
Monroe, NC 28112
Phone (704) 282-8276

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

Interoperability endpoints

  • Direct secure messaging: kara.brooks@qdp.emadirect.md

Organizations & group practices 3

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1548529001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SPRINGER DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486413",
            "telephone_number": "815-744-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROOSEVELT BLVD STE 200A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124139",
            "telephone_number": "704-289-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2016-00323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "LUERSEN",
            "middle_name": "MARIKO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.