Individual provider Active NPI

Kristen Rae Rice, M.D.

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1871826115
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
29598 Issued in OK
Practice address
2424 E 21St St Ste 340
Tulsa, OK 74114-1722
Phone
(918) 728-3100
Fax
(918) 728-3376
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 29598 OK Primary

Addresses

Primary practice location

2424 E 21St St Ste 340
Tulsa, OK 74114-1722

Mailing address

2424 E 21St St Ste 340
Tulsa, OK 74114-1722
Phone (918) 728-3100

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20131206001338 OK Practitioner - Dermatology 0840427324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Dermatology LLCGroup PAC ID 4587602784, 7 clinicians

Practice addresses (Care Compare)

2424 E 21St St
Suite 340
Tulsa, OK 74114-1722
Phone (918) 743-4046

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
93.33
Promoting interoperability
93
Improvement activities
40
Cost
86.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of tissue1-10
Removal of skin lesions2018
Removal or shaving of skin growth26
Skin biopsy752

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29598OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Dermatology LLC Dermatology CurrentSince Apr 2, 2020 Accepting new patients

Locations

2424 E 21st St
Ste 340
Tulsa, OK 74114
Phone (918) 728-3100

Interoperability endpoints

  • Direct secure messaging: kristen.rice@direct.stjohnhealthsystem.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1871826115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 340",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141722",
            "telephone_number": "918-728-3100",
            "fax_number": "918-728-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 340",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141722",
            "telephone_number": "918-728-3100",
            "fax_number": "918-728-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "KRISTEN",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "29598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.