Individual provider Active NPI

Kimberly Renee Schoofs, M.D.

  • Dermatology Physician
  • Kansas City, MO
National Provider Identifier
1679550974
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MO2010018432 Issued in MO
Practice address
5810 NW Barry Rd
Ste 100
Kansas City, MO 64154-1493
Phone
(816) 584-8100
Fax
(816) 584-8106
NPI assigned
Dec 28, 2005
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 47025 MN
Dermatology Physician 207N00000X 36196 AZ
Dermatology Physician 207N00000X MO2010018432 MO Primary

Addresses

Primary practice location

5810 NW Barry Rd
Ste 100
Kansas City, MO 64154-1493

Mailing address

5810 NW Barry Rd
Ste 100
Kansas City, MO 64154-1493
Phone (816) 584-8100

Other identifiers 3

IdentifierTypeStateIssuer
160238MedicaidAZ
P00624795OtherAZRAILROAD MEDICARE
218600400MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20101108000146 MO Practitioner - Dermatology 5395725139 Reassigns benefits to 1 organization
I20160509001401 KS Practitioner - Dermatology 5395725139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Skin and Cancer Center LLCGroup PAC ID 5597858795, 15 clinicians

Practice addresses (Care Compare)

8656 N Ambassador Dr
Kansas City, MO 64154-2558
Phone (816) 584-8100

9301 W 74TH St
Suite 230
Shawnee Mission, KS 66204-2217
Phone (816) 584-8100

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of skin lesions832
Removal or shaving of skin growth1-10
Skin biopsy205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36196AZMDDermatology Physician
MO2010018432MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Skin and Cancer Center, LLC CurrentSince Oct 5, 2010 Accepting new patients

Locations

9301 W 74th St
Ste 230
Shawnee Msn, KS 66204
Phone (816) 584-8100

5810 NW Barry Rd
Ste 100
Kansas City, MO 64154
Phone (816) 584-8100

8656 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 584-8100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1679550974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 NW BARRY RD",
            "address_2": "STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541493",
            "telephone_number": "816-584-8100",
            "fax_number": "816-584-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 NW BARRY RD",
            "address_2": "STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541493",
            "telephone_number": "816-584-8100",
            "fax_number": "816-584-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOOFS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "47025",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "36196",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "MO2010018432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160238",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00624795",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218600400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.