Individual provider Active NPI

John F Rupp, M.D.

  • Dermatology Physician
  • Kansas City, MO
National Provider Identifier
1598769473
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
114816 Issued in MO
Practice address
1010 Carondelet Dr
Suite 125
Kansas City, MO 64114-4846
Phone
(816) 942-1150
NPI assigned
Jun 9, 2005
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 114816 MO
Dermatology Physician 207N00000X 114816 MO Primary

Addresses

Primary practice location

1010 Carondelet Dr
Suite 125
Kansas City, MO 64114-4846

Mailing address

1010 Carondelet Dr
Suite 125
Kansas City, MO 64114-4846
Phone (816) 942-1150

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
I20100616000356 MO Practitioner - Dermatology 3971644261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Creighton University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Kansas City, P.C.Group PAC ID 6901947290, 4 clinicians

Practice addresses (Care Compare)

1010 Carondelet Dr
Suite 125
Kansas City, MO 64114-4846
Phone (816) 942-1150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.24 of 100Reported as individual
Quality
85.99
Improvement activities
40
Cost
56.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision46
Removal of skin lesions2390
Removal of nail tissue1-10
Removal or shaving of skin growth42
Skin biopsy446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114816MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Kansas City, P.C. Specialist CurrentSince Jan 1, 2001 Accepting new patients
Adult and Pediatric Dermatology Dermatology PastSince Jan 1, 1999 Accepting new patients

Locations

1010 Carondelet Dr
Ste 125
Kansas City, MO 64114
Phone (816) 942-1150

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 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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1598769473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 125",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144846",
            "telephone_number": "816-942-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 125",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144846",
            "telephone_number": "816-942-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "114816",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "114816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.