UROLOGY CARE, INC. – Urology Physician, NPI 1780723205

UROLOGY CARE, INC. is a healthcare provider. based in Jefferson city, Missouri. specializing in Urology Physician. The NPI Number for UROLOGY CARE, INC. is 1780723205

Main info

Organization
Name
UROLOGY CARE, INC.
NPI
1780723205
Phone
(573) 636-5115
Address
3207 W TRUMAN BLVD
Authorized Official
MICHAEL S. SEVERANCE PRESIDENT M.D.
Enumeration Date
5 February 2007
Last Update Date
15 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for UROLOGY CARE, INC.

  • 3207 W TRUMAN BLVD

    JEFFERSON CITY, MO 651090892

    Phone: (573) 636-5115

    Fax: (573) 636-2818

    Mailing address matches the actual address.

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: 2023-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (81 days away).

Enrollment records

2

Earliest due date

2026-08-31

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
O20070703000252OClinic/Group PracticeMOTBD
O20230810003253OPhysician - UrologyMO2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 65109)

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Reviews

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Frequently asked questions

Is there an official ID for UROLOGY CARE, INC. in U.S. healthcare records?
The official identifier for UROLOGY CARE, INC. is NPI 1780723205.
Is there an active status for UROLOGY CARE, INC.?
For scheduling context, UROLOGY CARE, INC. is shown as active in the registry.
What expertise is attributed to UROLOGY CARE, INC.?
UROLOGY CARE, INC.'s specialty line reads Urology Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is UROLOGY CARE, INC. registered?
Use Jefferson City, Missouri as the headline location for UROLOGY CARE, INC. here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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