David Ryan Fieleke, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2011N01449 Issued in MO

Practice address

1728 NE Nine Oaks Dr
Lees Summit, MO 64086-7814

Phone

(573) 356-7265

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Missouri, Columbia School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Dermatology and Surgery Group PCGroup PAC ID 3870856669, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.09 of 100Reported as group

Quality

91.65

Improvement activities

40

Cost

68.1

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cornerstone Dermatology & Surgery Group, PC

  • Procedural Dermatology Physician
  • Lees Summit, MO
  • NPI 1114427739
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology and Skin Cancer Specialists, LLC.

  • Dermatology Physician
  • Lees Summit, MO
  • NPI 1366632697
  Medicare reassignment NPD
• Skin & Mohs Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lees Summit, MO
  • NPI 1881875227
  NPD
• Dermatology and Skin Cancer Specialists, LLC

  • Dermatology Physician
  • Leawood, KS
  • NPI 1205880846
  NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1679760417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 NE NINE OAKS DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640867814",
            "telephone_number": "573-356-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 NE NINE OAKS DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640867814",
            "telephone_number": "573-356-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELEKE",
        "first_name": "DAVID",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2011N01449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Fenzel, APRN
• Rebecca Ann Ferguson, D.O.
• Mariah Dawn Fielder
• Noelle Elizabeth Fielder, LAT, ATC
• Leslie Anne Fields, M.D.
• Michael S Filla, RN, CRNA
• Shelby Finley, LPC
• Garrett Allen Finney, DMD, MSD
• Amanda Lynn Fisher, DPT
• Amberae N Fisher

• Dermatology Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.