Individual provider Active NPI

Jared Gichana Nyabuti, MD

  • Hospitalist Physician
  • Carbondale, IL
National Provider Identifier
1255695797
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
42846 Issued in IA
Practice address
305 W Jackson St Ste 200
Carbondale, IL 62901-1474
Phone
(618) 536-6621
Fax
(618) 453-1102
NPI assigned
Jun 29, 2012
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125061993 IL
Hospitalist Physician 208M00000X 42846 IA Primary

Addresses

Primary practice location

305 W Jackson St Ste 200
Carbondale, IL 62901-1474

Mailing address

305 W Jackson St Ste 200
Carbondale, IL 62901-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151008001662 IA Practitioner - Family PracticePractitioner - Hospitalist 9133368822 Reassigns benefits to 3 organizations
I20160504001589 MN Practitioner - Family PracticePractitioner - Emergency Medicine 9133368822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Iowa PCGroup PAC ID 3779517941, 60 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800
Phone (641) 428-6615

1700 University Ave W
Saint Paul, MN 55104-3727

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-2303

45 10TH St W
Saint Paul, MN 55102-1062
Phone (651) 232-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42846IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Family Medicine CurrentSince Jun 14, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Family Medicine Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Sioux City Hospitalist Group, LLC Hospitalist CurrentSince Mar 25, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 2, 2017 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Jun 14, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Regency Hospital of Minneapolis, LLC CurrentSince Sep 22, 2018 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Sound Physicians of Iowa, PLLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Cogent Healthcare of Iowa, PC Family Medicine CurrentSince Jan 3, 2018 Accepting new patients
Fairview Bethesda Hospital Past Accepting new patients
Marian Health Center-SMHC Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations (25 of 33)

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1515 Delhi St
Ste 100
Dubuque, IA 52001
Phone (319) 557-9111

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 255-2324

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 326-7701

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jnyabuti@yourcarecommunity.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 9

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1255695797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST STE 200",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST STE 200",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-536-6621",
            "fax_number": "618-453-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYABUTI",
        "first_name": "JARED",
        "middle_name": "GICHANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125061993",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "42846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.