Organization Active NPI

Mona Rane, MD Chartered

  • Plastic and Reconstructive Surgery Physician
  • Liberal, KS
National Provider Identifier
1851364178
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0429812 Issued in KS
Legal business name
MONA RANE, MD CHARTERED
Practice address
109 E. 11TH Street
Liberal, KS 67901
Phone
(620) 624-8500
Fax
(620) 624-8510
NPI assigned
Feb 8, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Mona Rane, M.D.NPI 1598748055
Title
Owner
Phone
(620) 624-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 0429812 KS Primary

Addresses

Primary practice location

109 E. 11TH Street
Liberal, KS 67901

Mailing address

PO Box 1197
Liberal, KS 67905-1197
Phone (620) 624-8500

Other identifiers 1

IdentifierTypeStateIssuer
102437OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000814 KS Part B Supplier - Clinic/Group Practice 6800858085 Receives reassigned benefits from 1 practitioner
Practice locations: Liberal, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1851364178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1197",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679051197",
            "telephone_number": "620-624-8500",
            "fax_number": "620-624-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E. 11TH STREET",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-624-8500",
            "fax_number": "620-624-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA RANE, MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "RANE",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-624-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KS",
            "license": "0429812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "102437",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.