Active NPI
Jay Frank Banister III, M.D.
- Psychiatry Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2008015998
- Practice address
- 4801 E Linwood Blvd
VA Med Center/Mental Hygiene Clinic
Kansas City, MO 64128-2226 - Phone
- (816) 922-2641
- Fax
- (816) 922-4652
- NPI assigned
- Mar 30, 2007
- Last updated
- Apr 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008015998 | MO | |
| Psychiatry Physician | 2084P0800X | 2008015998 | MO | Primary |
Addresses
Primary practice location
4801 E Linwood Blvd
VA Med Center/Mental Hygiene Clinic
Kansas City, MO 64128-2226
Mailing address
4801 E Linwood Blvd
VA Med Center/Mental Hygiene Clinic
Kansas City, MO 64128-2226
Phone (816) 922-2641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12330 Metcalf Ave
Suite 580
Overland Park, KS 66213-1308
Phone (913) 317-3230
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008015998 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Internal Medicine | Current | Accepting new patients |
| Saint Lukes Physician Group II LLC | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 580
Overland Park, KS 66213
Phone (913) 317-3230
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
4400 Broadway Blvd
Ste 407
Kansas City, MO 64111
Phone (816) 931-1711
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
901 E 104th St
Stop 400S
Kansas City, MO 64131
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- jbanister95265@direct.saint-lukes.org
Organizations & group practices 2
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Internal Medicine, KS
-
dba Saint Lukes Physician Specialists LLC
- Surgery Physician
- Kansas City, MO
- NPI 1750335337
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1144340233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"address_2": "VA MED CENTER/MENTAL HYGIENE CLINIC",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-922-2641",
"fax_number": "816-922-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"address_2": "VA MED CENTER/MENTAL HYGIENE CLINIC",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-922-2641",
"fax_number": "816-922-4652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANISTER",
"first_name": "JAY",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2008015998",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2008015998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.