Individual provider Active NPI

Ali Jamos, AU.D.

  • Audiologist
  • Lawrence, KS
National Provider Identifier
1124904743
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2541 Issued in KS
Practice address
1000 Sunnyside Ave RM 2101
Lawrence, KS 66045-7599
Phone
(785) 864-4690
NPI assigned
Aug 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2541 KS Primary

Addresses

Primary practice location

1000 Sunnyside Ave RM 2101
Lawrence, KS 66045-7599

Mailing address

3909 Booth St Apt 11
Kansas City, KS 66103-2876
Phone (816) 599-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827003456 KS Practitioner - Qualified Audiologist 5395246821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Kansas-Accounting ServicesGroup PAC ID 2961395140, 12 clinicians

Practice addresses (Care Compare)

1200 Sunnyside Ave
Lawrence, KS 66045-7600
Phone (785) 864-4690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2541KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Kansas - Accounting Services Audiologist CurrentSince Aug 20, 2025 Accepting new patients
State of Kansas CurrentSince Aug 20, 2025 Accepting new patients
State of Kansas-Accounting Services Current Accepting new patients

Locations

1301 KS Highway 264
Larned, KS 67550
Phone (620) 285-2131

1200 Sunnyside Ave
#2101
Lawrence, KS 66045
Phone (785) 864-0656

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e13c1e21-bd04-471c-b46a-cb74f87dcaaa/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1124904743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BOOTH ST APT 11",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032876",
            "telephone_number": "816-599-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUNNYSIDE AVE RM 2101",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457599",
            "telephone_number": "785-864-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMOS",
        "first_name": "ALI",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.