Cory Payton Jabara, D.O.
Individual provider Active NPI Family Medicine Physician · Kansas City, MO
NPI 1306100326 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1306100326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2015021163 (MO)
- Practice address
- 373 W 101St Ter
Kansas City, MO 64114-4498 - Phone
- (816) 942-8200
- Fax
- (913) 495-3760
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encompass Medical Group PA
Practice addresses (Care Compare)
373 W 101St Ter
Kansas City, MO 64114-4408
Phone (816) 941-1400
373 W 101St Terrace
Kansas City, MO 64114-4408
Phone (816) 942-8200
4811 S Arrowhead Dr
Independence, MO 64055-6981
Phone (816) 941-1400
Hospital & facility affiliations
- St Joseph Medical Center
- University of Kansas Hospital
- Saint Lukes North Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150721002840 | MO | Practitioner - Family Practice | 1254572514 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015021163 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Medical Group, PA | Family Medicine | Current |
Accepting new patients |
Locations
8550 Marshall Dr
Ste 220
Overland Park, KS 66214
Phone (816) 942-8200
101 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 453-1818
373 W 101st Ter
Kansas City, MO 64114
Phone (816) 941-1400
Interoperability endpoints
- wornalloffice@1223.direct.myezyaccess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2015021163 | MO | Yes |
Addresses
Primary practice location
373 W 101St Ter
Kansas City, MO 64114-4498
Mailing address
8550 Marshall Dr Ste 220
Lenexa, KS 66214-1505
Phone (816) 942-8200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referrals_wrn@encompassmed.direct-ci.net | Direct |
Other providers in Kansas City, MO
- J Daniel Fleming DDS PC
- J. Robert Bono DDS, PC
- J.P. and Associates, Counseling and Consultation Services
- J&D Health Care Services LLC
- Jeffrey D Jaax
- Courtney Michelle Jablonski
- Jack of Trades Sales Contracting
- Jack of Trades Sales Contracting
- Kristina Jack
- Jackel Counseling Services, LLC
All providers in Kansas City, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.