Individual provider Active NPI

John Harland Irlam, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Joplin, MO
National Provider Identifier
1104098664
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2012017971 Issued in MO
Practice address
2817 Saint Johns Blvd
Joplin, MO 64804-1563
Phone
(417) 781-2727
Fax
(417) 625-2906
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2012017971 MO Primary

Addresses

Primary practice location

2817 Saint Johns Blvd
Joplin, MO 64804-1563

Mailing address

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400

Other practice location 1

1102 W 32ND St
Joplin, MO 64804-3503
Phone (417) 347-3575

Other identifiers 1

IdentifierTypeStateIssuer
1104098664MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120806000138 MO Practitioner - Pathology 1951557032 Reassigns benefits to 2 organizations
I20170419001911 KS Practitioner - PathologyPractitioner - Family Practice 1951557032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Midwestern University, Chicago College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLC 137 clinicians
Ferguson Medical Laboratories Inc 3 clinicians

Practice addresses (Care Compare)

1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-3575

1801 W 32ND St BLDG B
Suite 101
Joplin, MO 64804-1528
Phone (417) 623-6330

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone (615) 221-4474

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (417) 502-3840

Hospital & facility affiliations

  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Nevada Regional Medical Center Hospital, Nevada, MO, CCN 260061
  • Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
Quality
79.12
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012017971MOMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 5, 2025 Accepting new patients
Joplin Pain Care Group LLC Past Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

1201 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 231-0204

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

Organizations & group practices 4

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1104098664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277542",
            "telephone_number": "615-221-4400",
            "fax_number": "615-234-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-781-2727",
            "fax_number": "417-625-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32ND ST",
            "address_purpose": "LOCATION",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-3575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRLAM",
        "first_name": "JOHN",
        "middle_name": "HARLAND",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2012017971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104098664",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.