Keith Adrian Warren, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04-25152 Issued in KS

Practice address

10100 W 119TH St
Suite 260
Overland Park, KS 66213-1604

Phone

(913) 339-6970

Fax

(913) 339-6974

NPI assigned

Feb 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Virginia School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.95 of 100Reported as individual

Quality

99.91

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwarren553546@direct.kuha.org

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.

• Warren Retina Associates, PA

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1013984129
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1790757631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 W 119TH ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131604",
            "telephone_number": "913-339-6970",
            "fax_number": "913-339-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W 119TH ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131604",
            "telephone_number": "913-339-6970",
            "fax_number": "913-339-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KEITH",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-25152",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "106616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "21234042",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163470B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard B. Warner, M.D.
• Elizabeth Ashley Warnery, APRN
• Warren Retina Associates, PA
• Diana Marie Warren, PT, DPT
• Jordan Warren, LPC
• Ronda Lynn Warren, MD
• Anassa Warrior
• Mehtab Warya
• Jaeden Waschbusch
• Christine Anne Wash, LMSW

• Ophthalmology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.