Individual provider Active NPI

Jeremy Lee Cowgill, PA-C

  • Surgical Physician Assistant
  • Merriam, KS
National Provider Identifier
1164735494
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1501380 Issued in KS
Practice address
7450 Kessler St Ste 140
Merriam, KS 66204-2519
Phone
(913) 362-8317
Fax
(913) 362-0169
NPI assigned
Jul 15, 2010
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01380 KS
Surgical Physician Assistant 363AS0400X 1501380 KS Primary

Addresses

Primary practice location

7450 Kessler St Ste 140
Merriam, KS 66204-2519

Mailing address

7450 Kessler St Ste 140
Merriam, KS 66204-2519
Phone (913) 362-8317

Other identifiers 1

IdentifierTypeStateIssuer
200674450CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000919 KS Practitioner - Physician Assistant 7416081229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Imaging Consultants LLCGroup PAC ID 4486545498, 33 clinicians

Practice addresses (Care Compare)

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 791-4291

2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327

5721 W 119TH St
Leawood, KS 66209-3722
Phone (913) 498-6000

8929 Parallel Pkwy
Kansas City, KS 66112-1689
Phone (913) 596-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51788CAMDDentist
15-01380KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. CurrentSince Feb 22, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

Interoperability endpoints

  • Direct secure messaging: jcowgill@mopa1685.srs-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1164735494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 140",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042519",
            "telephone_number": "913-362-8317",
            "fax_number": "913-362-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 140",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042519",
            "telephone_number": "913-362-8317",
            "fax_number": "913-362-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWGILL",
        "first_name": "JEREMY",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01380",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "1501380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200674450C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.