Active NPI
Lisa A Clough, M.D.
- Infectious Disease Physician
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 04-25575
- Practice address
- 3901 Rainbow Boulevard
6067 Delp, Mail Stop 1028
Kansas City, KS 66160 - Phone
- (913) 588-6035
- Fax
- (913) 945-6916
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 04-25575 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Boulevard
6067 Delp, Mail Stop 1028
Kansas City, KS 66160
Mailing address
3901 Rainbow Boulevard
6067 Delp, Mail Stop 1028
Kansas City, KS 66160
Phone (913) 588-6035
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207287400 | Medicaid | MO | |
| 35034016 | Other | MO | BCBS KC |
| 926001 | Other | KS | FIRSTGUARD |
| 200309880A | Medicaid | KS |
Other names 1
- Lisa A McNichols
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-6015
Hospital & facility affiliations
- University of Kansas Hospital
- University of Kansas Health System Olathe Hospital
- University of KS HLTH System Great Bend Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-25575 | KS | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Infectious Disease | Current | Accepting new patients |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
3901 Rainbow Blvd
#1028
Kansas City, KS 66160
Phone (913) 588-6035
3901 Rainbow Blvd
Stop 1028
Kansas City, KS 66160
Phone (913) 588-3891
Interoperability endpoints
- lclough5460@direct.kuha.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
Infectious Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
- General Acute Care Hospital
- Great Bend, KS
- NPI 1548750417
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1780787697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BOULEVARD",
"address_2": "6067 DELP, MAIL STOP 1028",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6035",
"fax_number": "913-945-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BOULEVARD",
"address_2": "6067 DELP, MAIL STOP 1028",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6035",
"fax_number": "913-945-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "LISA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KS",
"license": "04-25575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207287400",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "35034016",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "926001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200309880A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "MCNICHOLS",
"middle_name": "A",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.