Individual provider Active NPI

Sibyl E Downing, MD

  • Pediatrics Physician
  • Saint Joseph, MO
National Provider Identifier
1093744948
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2005009922 Issued in MO
Practice address
1918 N Woodbine Rd
Saint Joseph, MO 64506
Phone
(816) 396-8855
Fax
(816) 396-6123
NPI assigned
Jul 2, 2006
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2005009922 MO
Pediatrics Physician 208000000X 2005009922 MO Primary

Addresses

Primary practice location

1918 N Woodbine Rd
Saint Joseph, MO 64506

Mailing address

1918 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 396-8855

Other identifiers 6

IdentifierTypeStateIssuer
206213100MedicaidMO
200334970AMedicaidKS
7836580OtherMOAETNA
P00273059OtherMORAILROAD MEDICARE
10001810500OtherMOCHP
35913011OtherMOBCBS

Other names 1

  • Sibyl Elizabeth Jura Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000517 MO Practitioner - Pediatric MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 6608856513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2005009922MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Express LLC CurrentSince Mar 26, 2017 Accepting new patients
Sibyl Downing LLC Pediatrics CurrentSince Oct 8, 2023 Accepting new patients
Pediatric Urgent Care LLC CurrentSince Jun 2, 2024 Accepting new patients
Evans Pediatric Clinic PC Pediatrics Past Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients
Heartland Regional Medical Center Internal Medicine Past Accepting new patients
Heartland Regional Medical Center Internal Medicine Past Accepting new patients
Sibyl Downing MD LLC PastSince Oct 1, 2022 Accepting new patients

Locations

4776 Verona Dr
Saint Joseph, MO 64506
Phone (816) 396-9500

Interoperability endpoints

  • Direct secure messaging: sibyl.downing@434006188687364.direct.elationemr.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1093744948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-396-8855",
            "fax_number": "816-396-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-396-8855",
            "fax_number": "816-396-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "SIBYL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-10-06",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2005009922",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2005009922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206213100",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200334970A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7836580",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00273059",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "10001810500",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35913011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIBYL",
            "last_name": "JURA",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.