Individual provider Active NPI

Patricia Dandache, M.D.

  • Infectious Disease Physician
  • Lees Summit, MO
National Provider Identifier
1730348541
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2011036697 Issued in MO
Practice address
20 NE Saint Lukes Blvd
Suite 300
Lees Summit, MO 64086-6001
Phone
(816) 822-8486
Fax
(816) 822-0490
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2011036697 MO Primary
Infectious Disease Physician 207RI0200X 04-35293 KS

Addresses

Primary practice location

20 NE Saint Lukes Blvd
Suite 300
Lees Summit, MO 64086-6001

Mailing address

2340 E Meyer Blvd BLDG 2
Suite 392
Kansas City, MO 64132-1105
Phone (816) 822-8486

Other identifiers 2

IdentifierTypeStateIssuer
209578301MedicaidMO
200973370AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20201203000353 VA Practitioner - Infectious Disease 7911073184 Reassigns benefits to 1 organization
I20210309002190 DC Practitioner - Infectious Disease 7911073184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Diseases Physicians, Inc.Group PAC ID 9537267513, 13 clinicians

Practice addresses (Care Compare)

3289 Woodburn Rd
Suite 200
Annandale, VA 22003-7347
Phone (703) 560-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
53.56
Promoting interoperability
99
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-35293KSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Physicians, Inc Infectious Disease Current Accepting new patients
Infectious Diseases Physicians, Inc Infectious Disease CurrentSince Sep 1, 2020 Accepting new patients

Locations

3289 Woodburn Rd
Ste 200
Annandale, VA 22003
Phone (703) 560-7900

3289 Woodburn Rd
Annandale, VA 22003
Phone (703) 226-2640

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJIGCA

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1730348541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 2",
            "address_2": "SUITE 392",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-822-8486",
            "fax_number": "816-822-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD",
            "address_2": "SUITE 300",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-822-8486",
            "fax_number": "816-822-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDACHE",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2011036697",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "04-35293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209578301",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200973370A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.