CORMAC PROSSER MD
NPI 1154019370
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Active since April 26, 2023PECOS Enrolled
3901 RAINBOW BLVD # MS 1045, KANSAS CITY, KS 66160(913) 588-1559 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cormac Prosser Md NPPES

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

CORMAC PROSSER MD (NPI 1154019370) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154019370
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCORMAC PROSSERCredential: MD
Location Address3901 RAINBOW BLVD # MS 1045Kansas City, KS 66160-8500
Mailing Address3901 Rainbow Blvd # Ms 1045Kansas City, KS 66160-8500 · (913) 588-1559
Sole ProprietorNo
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1154019370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3901 RAINBOW BLVD # MS 1045, Kansas City, KS 66160

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cormac Prosser Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160

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 Cormac Prosser's NPI number?

The NPI number for Cormac Prosser is 1154019370. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Cormac Prosser located?

Cormac Prosser practices at 3901 Rainbow Blvd # Ms 1045, Kansas City, KS 66160. The listed phone number is (913) 588-1559.

What is Cormac Prosser's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cormac Prosser enrolled in Medicare?

Yes. Cormac Prosser is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cormac Prosser was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.