CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
NPI 1114427739
Dermatology - Procedural Dermatology in Lees Summit, MO
NPI Status: Active since February 20, 2018
Contact Information
601 NW OBRIEN RD
LEES SUMMIT, MO
ZIP 64063
Phone: (816) 287-1528
- Organization
- Dermatology
- Procedural Dermatology
- Accepts Insurance
- CLIA Number: 26D2147629
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-09-2026
About CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
This page provides the complete NPI Profile along with additional information for Cornerstone Dermatology & Surgery Group, Pc, a provider established in Lees Summit, Missouri operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1114427739 assigned on February 2018. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is David Fieleke (Credentialing Manager)
- NPI
- 1114427739
- Provider Name
- CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
- Entity Type
- Organization
- Location Address
- 601 NW OBRIEN RD LEES SUMMIT, MO 64063
- Location Phone
- (816) 287-1528
- Mailing Address
- 601 NW OBRIEN RD LEES SUMMIT, MO 64063
- Mailing Phone
- (816) 287-1528
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2018
- Last Update Date
- 09-27-2024
- Code Navigator
Location Map
Secondary Locations
- 255 NW Blue Pkwy Ste 202
Lees Summit, MO 64063
(816) 287-1528
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 Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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).
Group Taxonomy 193400000X MULTIPLE 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:
- Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Catastrophic Pathway (+ Incentives) - EPO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 26D2147629
- Facility Type
- Physician Office
- Certificate Effective Date
- October 10, 2024
- Certificate Expiration Date
- October 09, 2026
- Laboratory Director
- DAVID R. FIELEKE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Cornerstone Dermatology & Surgery Group, Pc 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114427739, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114427739, enumerated as an "organization" on February 20, 2018.
The provider is located at 601 NW OBRIEN RD LEES SUMMIT, MO 64063 and the phone number is (816) 287-1528.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
