Organization Active NPI

Raza Jafri MD LLC

  • Pain Clinic/Center
  • Overland Park, KS
National Provider Identifier
1225493372
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
RAZA JAFRI MD LLC
Practice address
6700 W 121St St Ste 102
Overland Park, KS 66209-2028
Phone
(913) 871-9888
Fax
(913) 871-1477
NPI assigned
Dec 16, 2015
Last updated
Dec 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Beenish Jafri
Title
Ceo
Phone
(913) 871-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

6700 W 121St St Ste 102
Overland Park, KS 66209-2028

Mailing address

6700 W 121St St Ste 102
Overland Park, KS 66209-2028
Phone (913) 871-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129002158 KS Part B Supplier - Clinic/Group Practice 4688977366 Receives reassigned benefits from 2 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

6700 W 121st St
Ste 102
Overland Park, KS 66209
Phone (913) 631-5749

6700 W 121st St
Ste 300
Overland Park, KS 66209
Phone (913) 871-9888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1225493372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W 121ST ST STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092028",
            "telephone_number": "913-871-9888",
            "fax_number": "913-871-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 121ST ST STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092028",
            "telephone_number": "913-871-9888",
            "fax_number": "913-871-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZA JAFRI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "BEENISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-871-9888"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.