Individual provider Active NPI

Jared Thomas Staab, DO

  • Anesthesiology Physician
  • Kansas City, KS
National Provider Identifier
1184917882
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
94-07634 Issued in KS
Practice address
Kansas University Medical Ctr
3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001
Phone
(913) 588-3304
Fax
(913) 588-3365
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 94-07634 KS Primary

Addresses

Primary practice location

Kansas University Medical Ctr
3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001

Mailing address

Kansas University Medical Ctr
3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001
Phone (913) 588-3304

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805000503 KS Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 7214244052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-6431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-07634KSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Jul 1, 2016 Accepting new patients
Kansas University Physicians Inc Anesthesiology Current Accepting new patients
Kansas University Physicians Inc Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients

Locations

3901 Rainbow Blvd
#1034
Kansas City, KS 66160
Phone (913) 588-3302

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

Interoperability endpoints

  • Direct secure messaging: jstaab70911@direct.kuha.org

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.

Hospital & facility affiliations 2

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1184917882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KANSAS UNIVERSITY MEDICAL CTR",
            "address_2": "3901 RAINBOW BLVD MS 1034",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3304",
            "fax_number": "913-588-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KANSAS UNIVERSITY MEDICAL CTR",
            "address_2": "3901 RAINBOW BLVD MS 1034",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3304",
            "fax_number": "913-588-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB",
        "first_name": "JARED",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "94-07634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.