ADVANCED DERMATOLOGIC SURGERY
NPI 1003016312
Dermatology - MOHS-Micrographic Surgery in Overland Park, KS

NPI Status: Active since July 24, 2007

Contact Information

6901 W 121ST ST
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 661-1755
Fax: (913) 661-9260

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • CLIA Number: 17D0890923
  • CLIA Cert. Type: Compliance
  • CLIA Exp. Date: 11-27-2024

About ADVANCED DERMATOLOGIC SURGERY

Advanced Dermatologic Surgery is a provider established in Overland Park, Kansas operating as a Dermatology with a focus in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1003016312 assigned on July 2007. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Advanced Dermatologic Surgery. The authorized official of this NPI record is Mr. Greg Albers Mpa (Cfo)

NPI
1003016312
Provider Legal Name
ADVANCED DERMATOLOGIC SURGERY, P.A.
Other Organization Name
ADVANCED DERMATOLOGIC SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6901 W 121ST ST OVERLAND PARK, KS 66209
Location Phone
(913) 661-1755
Location Fax
(913) 661-9260
Mailing Address
6901 W 121ST ST OVERLAND PARK, KS 66209
Mailing Phone
(913) 661-1755
Mailing Fax
(913) 661-9260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2007
Last Update Date
06-03-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

04-25136 (KS)
2291U00000XLaboratories

Clinical Medical Laboratory

04-25136 (KS)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
  • Ambetter from Nebraska Total Care

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
  • Ambetter from Sunflower Health Plan

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
    • Elite Bronze + Vision + Adult Dental - PPO
    • Elite Gold - PPO
    • Elite Gold + Vision + Adult Dental - PPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway 20% for HSA - EPO
    • Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 7500/50% Standard - EPO
    • Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Catastrophic Pathway 9450 - EPO
    • Anthem Gold Pathway 1500/25% Standard - EPO
    • Anthem Silver Pathway 2950 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Silver Pathway 3950 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Silver Pathway 4950 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
    • UHC Bronze Standard (No Referrals) - EPO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - EPO
    • UHC Gold Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, No Referrals) - EPO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - EPO
    • UHC Gold Standard (No Referrals) - EPO
    • UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
    • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, No Referrals) - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GREG ALBERS MPA

Authorized Official Title
CFO
Authorized Official Phone
(913) 661-1755

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
17D0890923OTHER (01)CLIA #

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0890923
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
November 28, 2022
Certificate Expiration Date
November 27, 2024
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Advanced Dermatologic Surgery after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for ADVANCED DERMATOLOGIC SURGERY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003016312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 3 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003016312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487659959DR. TIMOTHY L PARKER MD
Individual
Dermatology (MOHS-Micrographic Surgery)6901 W 121ST ST
OVERLAND PARK, KS 66209
(913) 661-1755
1649376757ADS HEALTHCARE LLC
Organization
Clinic/Center (Ambulatory Surgical)6901 W 121ST ST
OVERLAND PARK, KS 66209
(913) 661-1755
1689841025DR. THOMAS LEWIS HAMAGUCHI HOCKER M.D.
Individual
Dermatology (MOHS-Micrographic Surgery)6901 W 121ST ST
OVERLAND PARK, KS 66209
(913) 661-1755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003016312, enumerated in the NPI registry as an "organization" on July 24, 2007

The provider is located at 6901 W 121st St Overland Park, Ks 66209 and the phone number is (913) 661-1755

This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 17D0890923 for a "ambulatory surgery center" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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