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DERMATOLOGY CONSULTANTS MIDWEST P.A.
NPI 1497768774
Specialist in Overland Park, KS

Active since August 15, 2006CLIA 17D0449461 · Microscopy
10777 NALL AVE STE 220, OVERLAND PARK, KS 66211(913) 469-0110(913) 469-6579 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Consultants Midwest P.a. NPPES

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

DERMATOLOGY CONSULTANTS MIDWEST P.A. (NPI 1497768774) is a healthcare organization registered as a specialist in Overland Park, Kansas and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through September 18, 2026 and lists David M O'connell, President, as its authorized official.

NPPES Registry Identity

NPI1497768774
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY CONSULTANTS MIDWEST P.A.
Location Address10777 NALL AVE STE 220Overland Park, KS 66211-1231
Mailing Address10777 Nall Ave, Suite 220Overland Park, KS 66211-1231 · (913) 469-0110 · Fax (913) 469-6579
Phone(913) 469-0110
Fax(913) 469-6579
Organization SubpartNo
Authorized OfficialDavid M O'connellPresident · (913) 469-0110
Enumeration DateAugust 15, 2006
Last NPPES UpdateNovember 27, 2007
✔ NPI 1497768774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in KS · 3992
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10777 NALL AVE STE 220, Overland Park, KS 66211
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Other Identifiers 1

Medicare ID-Type UnspecifiedK280000KS

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 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 for Provider-Performed Microscopy Procedures (PPMP) 17D0449461

Dermatology Consultants Midwest · Overland Park, KS
Active · expires Sep 18, 2026
CLIA Number17D0449461
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorBraden R. Rance
Laboratory Phone(913) 469-0110
Laboratory LocationDermatology Consultants Midwest10777 Nall Avenue Suite 220, Overland Park, KS 66211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

REBECCA LEIGH CHAIN M.D.
Dermatology
10777 NALL AVE STE 220
OVERLAND PARK, KS 66211
Johnson County (913) 469-0110
EMILIE DORE BADJE M.D.
Dermatology
10777 NALL AVE STE 220
OVERLAND PARK, KS 66211
Johnson County (913) 469-0110

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 Dermatology Consultants Midwest P.A.'s NPI number?

The NPI number for Dermatology Consultants Midwest P.A. is 1497768774. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Dermatology Consultants Midwest P.A. located?

Dermatology Consultants Midwest P.A. is located at 10777 Nall Ave Ste 220, Overland Park, KS 66211. The listed phone number is (913) 469-0110.

What is Dermatology Consultants Midwest P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dermatology Consultants Midwest P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 17D0449461) is associated with this NPI, valid through September 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Consultants Midwest P.A. accept?

Health plans from Anthem Blue Cross and Blue Shield list Dermatology Consultants Midwest P.A. 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 Dermatology Consultants Midwest P.A. was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.