Individual provider Active NPI

Zachary David Jacobs, MD

  • Allergy & Immunology Physician
  • Kansas City, MO
National Provider Identifier
1215033840
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2009010345 Issued in MO
Practice address
4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone
(816) 531-0930
Fax
(816) 531-2807
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2009010345 MO Primary

Addresses

Primary practice location

4440 Broadway Blvd
Kansas City, MO 64111-3315

Mailing address

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 531-0930

Other practice location 1

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3097

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
I20110621000672 MO Practitioner - Allergy/Immunology 0244418226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 561-9200

777 NW Blue Pkwy
Suite 3100
Lees Summit, MO 64086-5799
Phone (816) 531-0930

8350 N Saint Clair Ave
Suite 100
Kansas City, MO 64151-5102
Phone (913) 258-2116

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 Medicine

State licenses

LicenseStateTypeSpecialty
2009010345MOMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Physician Partners Inc CurrentSince Jan 1, 2014 Accepting new patients
Kansas City Physician Partners, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Saint Luke'S Physician Partners, Inc. Allergy & Immunology Past Accepting new patients
Saint Luke'S Physician Partners, Inc. Past Accepting new patients

Locations

4440 Broadway Blvd
Kansas City, MO 64111
Phone (816) 531-0930

8350 N Saint Clair Ave
Ste 20
Kansas City, MO 64151
Phone (816) 531-0930

Interoperability endpoints

  • Direct secure messaging: zachary.jacobs@direct.kcphypartner.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1215033840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "816-531-0930",
            "fax_number": "816-531-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "816-531-0930",
            "fax_number": "816-531-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-234-3097",
            "fax_number": "816-346-1301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "2009010345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.