Individual provider Active NPI

Dwane M Beckenhauer, M.D.

  • Surgery Physician
  • Salina, KS
National Provider Identifier
1912014077
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0420676 Issued in KS
Practice address
501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Phone
(785) 452-7245
Fax
(785) 452-7246
NPI assigned
Aug 24, 2006
Last updated
May 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0420676 KS Primary

Addresses

Primary practice location

501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189

Mailing address

501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Phone (785) 452-7269

Other identifiers 1

IdentifierTypeStateIssuer
100205490CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 S Santa Fe Ave
Salina, KS 67401-4189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue514
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center Inc CurrentSince May 31, 2011 Accepting new patients
Salina Regional Health Center, Inc Surgery CurrentSince May 31, 2011 Accepting new patients
Comcare, P.a Past Accepting new patients
Southeast Kansas Surgical Group, PA Surgery Past Accepting new patients
Minimally Invasive and Bariatric Surgery, LLC Surgery PastSince Aug 25, 2015 Accepting new patients

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

501 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6211

501 S Santa Fe Ave
Ste 200
Salina, KS 67401
Phone (785) 452-7245

Interoperability endpoints

  • Direct secure messaging: dwane.beckenhauer@khindirect.org
  • Direct secure messaging: dwane.beckenhauer@srhcdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIBACD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1912014077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-7269",
            "fax_number": "785-452-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-7245",
            "fax_number": "785-452-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKENHAUER",
        "first_name": "DWANE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0420676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100205490C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.