Individual provider Active NPI

Jared Lee Palfreeman, MD

  • Pediatrics Physician
  • Lees Summit, MO
National Provider Identifier
1154853778
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2012021133 Issued in MO
Practice address
4025 NE Lakewood Way Ste 100
Lees Summit, MO 64064-2058
Phone
(816) 287-8282
NPI assigned
Apr 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012021133 MO Primary

Addresses

Primary practice location

4025 NE Lakewood Way Ste 100
Lees Summit, MO 64064-2058

Mailing address

4025 NE Lakewood Way Ste 100
Lees Summit, MO 64064-2058
Phone (816) 287-8282

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
I20170809001971 MO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0749551703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012021133MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Mercy - Wildwood Pediatrics Pediatrics CurrentSince Sep 1, 2024 Accepting new patients
James K. McEntire, D.O., P.C. Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
Children'S Mercy-Preferred Pediatrics Pediatrics PastSince Jul 1, 2020 Accepting new patients

Locations

4025 NE Lakewood Way
Ste 100
Lees Summit, MO 64064
Phone (816) 287-8282

241 NW McNary Ct
Lees Summit, MO 64086
Phone (816) 347-0064

Interoperability endpoints

  • Direct secure messaging: jaredpalfreeman@ppllc.allscriptsdirect.net
  • Direct secure messaging: jared.palfreeman.1@31493.direct.athenahealth.com

Organizations & group practices 3

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1154853778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 NE LAKEWOOD WAY STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642058",
            "telephone_number": "816-287-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 NE LAKEWOOD WAY STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642058",
            "telephone_number": "816-287-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALFREEMAN",
        "first_name": "JARED",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2012021133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.