Individual provider Active NPI

Mona A Rane, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Liberal, KS
National Provider Identifier
1598748055
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0429812 Issued in KS
Practice address
109 E. 11TH Street
Liberal, KS 67901-2762
Phone
(620) 624-8500
Fax
(620) 624-8510
NPI assigned
Nov 29, 2005
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 0429812 KS Primary

Addresses

Primary practice location

109 E. 11TH Street
Liberal, KS 67901-2762

Mailing address

PO Box 1197
Liberal, KS 67905-1197
Phone (620) 624-8500

Other identifiers 1

IdentifierTypeStateIssuer
102437OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20041029000889 KS Practitioner - Plastic and Reconstructive Surgery 3476515651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 E 11TH St
Liberal, KS 67901-2722
Phone (620) 624-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision136
Removal of tissue33
Removal of skin lesions354
Removal of nail tissue1-10
Skin biopsy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0429812KSMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mona Rane, MD Chartered Plastic and Reconstructive Surgery CurrentSince Oct 1, 2002 Accepting new patients

Locations

109 E 11th St
Liberal, KS 67901
Phone (620) 624-8500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1598748055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1197",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679051197",
            "telephone_number": "620-624-8500",
            "fax_number": "620-624-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E. 11TH STREET",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012762",
            "telephone_number": "620-624-8500",
            "fax_number": "620-624-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANE",
        "first_name": "MONA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KS",
            "license": "0429812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "102437",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.