Individual provider Active NPI

Braden Ray Rance, M.D.

  • Dermatology Physician
  • Overland Park, KS
National Provider Identifier
1891767562
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
04-31823 Issued in KS
Practice address
10777 Nall Ave
#220
Overland Park, KS 66211-1362
Phone
(913) 469-0110
Fax
(913) 469-6579
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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 04-31823 KS Primary

Addresses

Primary practice location

10777 Nall Ave
#220
Overland Park, KS 66211-1362

Mailing address

10777 Nall Ave
#220
Overland Park, KS 66211-1362
Phone (913) 469-0110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000343 KS Practitioner - Dermatology 2769498153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants Midwest PAGroup PAC ID 1557367786, 3 clinicians

Practice addresses (Care Compare)

10777 Nall Ave
Suite 220
Overland Park, KS 66211-1359
Phone (913) 469-0110

Hospital & facility affiliations

  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions1129
Skin biopsy260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants Midwest P.a. CurrentSince Aug 1, 2006 Accepting new patients

Locations

10777 Nall Ave
Ste 220
Overland Park, KS 66211
Phone (913) 469-0110

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00087

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1891767562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 NALL AVE",
            "address_2": "#220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111362",
            "telephone_number": "913-469-0110",
            "fax_number": "913-469-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 NALL AVE",
            "address_2": "#220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111362",
            "telephone_number": "913-469-0110",
            "fax_number": "913-469-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCE",
        "first_name": "BRADEN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-31823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.