Active NPI
Jordan Jean Longabaugh, M.D.
- Obstetrics & Gynecology Physician
- Lee's Summit, MO
National Provider Identifier
1265013437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2026034658
- Practice address
- 120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000 - Phone
- (816) 251-5780
- Fax
- (816) 251-5781
- NPI assigned
- Apr 19, 2021
- Reactivated
- Jun 24, 2022
- Last updated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2026034658 | MO | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 94-10994 | KS |
Addresses
Primary practice location
120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000
Mailing address
120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000
Phone (816) 251-5780
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722001113 | KS | Order and Referring Only - Obstetrics/Gynecology | 3870974785 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Past | Accepting new patients |
Interoperability endpoints
- jordan.longabaugh@hca3.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1265013437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NE SAINT LUKES BLVD FL 3",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640861000",
"telephone_number": "816-251-5780",
"fax_number": "816-251-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NE SAINT LUKES BLVD FL 3",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640861000",
"telephone_number": "816-251-5780",
"fax_number": "816-251-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGABAUGH",
"first_name": "JORDAN",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"deactivation_date": "2022-03-27",
"reactivation_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2026034658",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "94-10994",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.