Active NPI
Jarrod Michael Harrall, D.O.
- Sports Medicine (Family Medicine) Physician
- Colorado Springs, CO
National Provider Identifier
1285700088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 05-34983
- Practice address
- 2446 Research Parkway
Suite 200
Colorado Springs, CO 80920 - Phone
- (719) 623-1050
- Fax
- (719) 623-1051
- NPI assigned
- Nov 27, 2006
- Last updated
- Dec 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 390200000X | MO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | DR.0050921 | CO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0534983 | KS | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 05-34983 | KS | Primary |
Addresses
Primary practice location
2446 Research Parkway
Suite 200
Colorado Springs, CO 80920
Mailing address
1651 Naismith Dr
Lawrence, KS 66045-4069
Phone (785) 864-2306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-34983 | KS | MD | Sports Medicine (Family Medicine) Physician |
| 390200000X | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Plus of Leawood LLC | Sports Medicine | Past | Accepting new patients |
| Sports Med Plus of Leawood LLC | Sports Medicine | Past | Accepting new patients |
| Sports Med Plus of Lees Summit, LLC | Sports Medicine | Past | Accepting new patients |
Interoperability endpoints
- jharrall685074@direct.kuha.org
Organizations & group practices 3
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.
-
- Sports Medicine (Family Medicine) Physician
- Leawood, KS
- NPI 1225336597
-
- Sports Medicine (Family Medicine) Physician
- Leawood, KS
- NPI 1467750232
-
- Sports Medicine (Family Medicine) Physician
- Lee's Summit, MO
- NPI 1669770434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1285700088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 NAISMITH DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660454069",
"telephone_number": "785-864-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2446 RESEARCH PARKWAY",
"address_2": "SUITE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80920",
"telephone_number": "719-623-1050",
"fax_number": "719-623-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRALL",
"first_name": "JARROD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "390200000X",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CO",
"license": "DR.0050921",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "KS",
"license": "0534983",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "KS",
"license": "05-34983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.