Active NPI
Summit Plastic Surgery Inc
- Plastic Surgery Physician
- Lees Summit, MO
National Provider Identifier
1871651430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- SUMMIT PLASTIC SURGERY INC
- Practice address
- 3151 NE Carnegie Drive
Lees Summit, MO 64064 - Phone
- (816) 461-8288
- Fax
- (816) 461-6586
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Madhukar G Chhatre, MD
- Title
- President
- Phone
- (816) 461-8288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
3151 NE Carnegie Drive
Lees Summit, MO 64064
Mailing address
3151 NE Carnegie Drive
Lees Summit, MO 64064
Phone (816) 461-8288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0984697 | Summit Plastic Surgery | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871651430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 NE CARNEGIE DRIVE",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "64064",
"telephone_number": "816-461-8288",
"fax_number": "816-461-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 NE CARNEGIE DRIVE",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "64064",
"telephone_number": "816-461-8288",
"fax_number": "816-461-6586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT PLASTIC SURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHHATRE",
"authorized_official_first_name": "MADHUKAR",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-461-8288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
- Summit Medical Associates LLC
- Summit of Health Integrative Care, Chiropractic and Hyperbaric Center
- Summit Pediatric Dentistry
- Summit Pediatric Therapy Corp
- Summit Pediatrics, LLC
- Summit Rehabilitation and Wellness Center, LLC
- Summit Ridge Counseling Group, Inc
- Summit RX, LLC
- Summit Skin Care Incorporated
- Summit Sleep Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.