Individual provider Active NPI

Arjumand Jaffri, MD

  • Psychiatry Physician
  • Smithville, MO
National Provider Identifier
1205976602
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2001019656 Issued in MO
Practice address
601 S 169 Hwy
Smithville, MO 64089
Phone
(816) 532-3700
Fax
(816) 932-7957
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2001019656 MO Primary

Addresses

Primary practice location

601 S 169 Hwy
Smithville, MO 64089

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117

Other practice location 1

724 N 22nd St
Saint Joseph, MO 64506-2604
Phone (816) 236-2413

Other practice location 2

724 N 22nd St
Saint Joseph, MO 64506-2604
Phone (816) 236-2413

Other identifiers 1

IdentifierTypeStateIssuer
205379217MedicaidMO

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
I20090521000015 MO Practitioner - Psychiatry 4688723729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Guidance Center for Behavioral HealthcareGroup PAC ID 6800707571, 18 clinicians

Practice addresses (Care Compare)

724 N 22ND St
Saint Joseph, MO 64506-2604
Phone (816) 364-1501

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center for Behavioral Healthcare Past Accepting new patients
SLN Medical Specialists LLC Past Accepting new patients
SLN Medical Specialists, LLC Past Accepting new patients

Organizations & group practices 4

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205976602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7117",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 169 HWY",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "64089",
            "telephone_number": "816-532-3700",
            "fax_number": "816-932-7957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062604",
            "country_code": "US",
            "telephone_number": "816-236-2413",
            "fax_number": "816-364-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "724 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062604",
            "country_code": "US",
            "telephone_number": "816-236-2413",
            "fax_number": "816-364-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFRI",
        "first_name": "ARJUMAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2001019656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205379217",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, MO

Sources for this page

Verify at the official NPI Registry.