ANDREW LANE (M.D.) – Emergency Medicine Physician, NPI 1417606583

ANDREW LANE (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 203347 (CA). The NPI Number for ANDREW LANE (M.D.) is 1417606583

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW LANE (M.D.)
NPI
1417606583
Phone
(816) 404-1000
Address
2301 HOLMES ST
Enumeration Date
23 March 2022
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7079355000
Graduation Year
2022 (4 years ago)
PAC ID
8325428279
Group Practice PAC ID
5698664977
Professional Enrollment ID
I20251205001012
Address ID
CA954766811SO347XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,354 EMERGENCY MEDICINE in MO

Provider Addresses for ANDREW LANE (M.D.)

  • 2301 HOLMES ST

    KANSAS CITY, MO 641082677

    Phone: (816) 404-1000

    Type: Mailing

  • 1000 TRANCAS ST

    NAPA, CA 945582906

    Phone: (707) 257-4099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251205001012IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698664977View full group profile
NameSpecialtyState
Emergency MedicineNY
Emergency MedicineME
Emergency MedicineCA
Emergency MedicineIL
Nurse PractitionerCA
Emergency MedicineHI
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

Does ANDREW LANE (M.D.) have a public NPI I can cite?
Public records show ANDREW LANE (M.D.) under NPI 1417606583.
Is ANDREW LANE (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists ANDREW LANE (M.D.) as active.
How should patients interpret ANDREW LANE (M.D.)'s specialty?
The extract shows Emergency Medicine Physician for ANDREW LANE (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREW LANE (M.D.)?
ANDREW LANE (M.D.) shows a connection to Kansas City, Missouri in registry-derived data.
Can I export ANDREW LANE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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