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CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
NPI 1114427739
Dermatology - Procedural Dermatology in Lees Summit, MO

Active since February 20, 2018CLIA 26D2147629 · Certificate of Compliance
601 NW OBRIEN RD, LEES SUMMIT, MO 64063(816) 287-1528 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Feb 21, 2018 (2 updates tracked since 2018).

About Cornerstone Dermatology & Surgery Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC (NPI 1114427739) is a healthcare organization registered as a procedural dermatology in Lees Summit, Missouri and active in the NPI registry since February 2018. The organization holds a CLIA Certificate of Compliance certificate valid through October 9, 2026, maintains a secondary practice location in Lees Summit, and lists David Fieleke, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114427739
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameCORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
Location Address601 NW OBRIEN RDLees Summit, MO 64063-1806
Mailing Address601 Nw Obrien RdLees Summit, MO 64063-1806 · (816) 287-1528 · Fax (343) 503-0640
Phone(816) 287-1528
Organization SubpartNo
Authorized OfficialDavid FielekeCredentialing Manager · (816) 287-1528
Enumeration DateFebruary 20, 2018
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1114427739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
601 NW OBRIEN RD, Lees Summit, MO 64063
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Secondary Practice Location 1

Location 1255 NW Blue Pkwy Ste 202Lees Summit, MO 64063-1972 · Phone (816) 287-1528 · Fax (343) 503-0640

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D2147629

Cornerstone Dermatology & Surgery Group, PC · Lees Summit, MO
Active · expires Oct 9, 2026
CLIA Number26D2147629
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorDavid R. Fieleke
Laboratory Phone(816) 287-1528
Laboratory LocationCornerstone Dermatology & Surgery Group, PC601 NW O'brien Road, Lees Summit, MO 64063
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HANNAH SAVILLE PA
Physician Assistant
601 NW OBRIEN RD
LEES SUMMIT, MO 64063
Jackson County (816) 287-1528
ALEC NEITZEL PA-C
Physician Assistant
601 NW OBRIEN RD
LEES SUMMIT, MO 64063
Jackson County (816) 287-1528
DR. BREA NICOLE STURM MD
Dermatology
601 NW OBRIEN RD
LEES SUMMIT, MO 64063
Jackson County (816) 287-1528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Dermatology & Surgery Group, PC's NPI number?

The NPI number for Cornerstone Dermatology & Surgery Group, PC is 1114427739. It was assigned to this organization in the NPPES registry on February 20, 2018.

Where is Cornerstone Dermatology & Surgery Group, PC located?

Cornerstone Dermatology & Surgery Group, PC is located at 601 NW Obrien Rd, Lees Summit, MO 64063. The listed phone number is (816) 287-1528.

What is Cornerstone Dermatology & Surgery Group, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Cornerstone Dermatology & Surgery Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D2147629) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cornerstone Dermatology & Surgery Group, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Cornerstone Dermatology & Surgery Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cornerstone Dermatology & Surgery Group, PC was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.