Scott M Ravis, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2006009464 Issued in MO

Practice address

4320 Wornall Rd
Medical Plaza I, Ste 728
Kansas City, MO 64111-5941

Phone

(816) 932-4500

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Dermatology

Education

University of Kansas School of Med (KC/Wich/Sal), 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Skin and Cancer Center LLCGroup PAC ID 5597858795, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kansas City Skin and Cancer Center, LLC

  • MOHS-Micrographic Surgery Physician
  • Kansas City, MO
  • NPI 1669670964

  KS, MO

  Medicare reassignment Care Compare group NPD
• Mawd Pathology Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1033108519

  KS

  Medicare reassignment
• Saint Luke'S Hospital of Kansas City

  • Prosthetic/Orthotic Supplier
  • Kansas City, MO
  • NPI 1700896958
  NPD (past)
• Saint Lukes Cancer Institute LLC

  • Surgical Oncology Physician
  • Kansas City, MO
  • NPI 1962458901

  Dermatology

  NPD (past)
• KC Bariatric, LLC

  • Surgery Physician
  • Lenexa, KS
  • NPI 1992945307
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Scott E Manthei PC LTD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Henderson, NV
  • NPI 1194724237
  NPD (past)
• St Lukes Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Overland Park, KS
  • NPI 1285797571
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1902845720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-599-9499",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "MEDICAL PLAZA I, STE 728",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-932-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVIS",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "31651",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01059923A",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "KS",
            "license": "31651",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2006009464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hali Rauer, LPN
• Rayaan Rauf
• Miyako Rauls, CHW
• Mary Rauth-Farley
• Jamie Ravenscraft, PHARMD
• Lillie Anne Rawie
• Kara Kylene Rawlins, RN
• Autumn N Ray, LPC
• Cortney Ray, PLPC, NCC
• Marianne C Ray, MD

• All providers in Kansas City, MO
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.