Jayhawk Primary Care Inc
Organization Active NPI Internal Medicine Physician · Kansas City, KS
NPI 1376324152 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1376324152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- JAYHAWK PRIMARY CARE INC
- Practice address
- 4000 Cambridge St
Kansas City, KS 66160-8501 - Phone
- (913) 588-1227
- NPI assigned
- Oct 9, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- JAYHAWK PRIMARY CARE INC
Authorized official
- Name
- Stephanie Sparks
- Title
- Asst. Director
- Phone
- (720) 635-9322
Other NPIs on the same Medicare enrollment 11
Practitioners 213
-
Amanda Jo Adams, APRN
-
Huda H. Alani, MD
-
Mistee Michelle Allen, M.D.
-
Gregory Alan Anderson, DNP, FNP-C
-
Kelly Andra, M.D.
-
Mariah J Andrews, MD
-
Robert Andrews, MD
-
Kristine Guzman Arano, M.D.
-
Girma T. Assefa, M.D.
-
Heather M Baker, MD
-
Emily Barnett-Doyle, DNP, APRN, AGNP-C
-
Jennifer L Baum, PA
-
Amy Alyssa Benson, PA-C
-
Michael Morgan Bergman, A.R.N.P.
-
Katrina Ann Bernard, PA-C
-
Patrick Joseph Boos, APRN
-
Rita Boswell, PA
-
Nour Boulad, M.D.
-
Robert Breeden, MD
-
Jordan Kristene Brennan, RN, BSN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050721001078 | KS | Part B Supplier - Clinic/Group Practice | 8123928900 |
Receives reassigned benefits from 208 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Overland Park, KS; Westwood, KS; Shawnee, KS; Prairie Village, KS; Olathe, KS; Gardner, KS |
National Provider Directory
- Part of
- Jayhawk Primary Care Inc
Locations
4000 Cambridge St
#G110
Kansas City, KS 66160
Phone (913) 588-6512
18695 W 151st St
Olathe, KS 66062
Phone (913) 355-3322
10787 Nall Ave
Ste 310
Overland Park, KS 66211
Phone (913) 945-6900
6420 N Prospect Ave
Gladstone, MO 64119
Phone (913) 945-9700
3139 Prospect Ave
Kansas City, MO 64128
Phone (816) 395-3772
1403 Grand Blvd
Kansas City, MO 64106
Phone (816) 268-4295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
4000 Cambridge St
Kansas City, KS 66160-8501
Mailing address
11300 Corporate Ave
Lenexa, KS 66219-1374
Phone (913) 588-6111
Other providers in Kansas City, KS
- Melissa Javellana
- Jeffrey John Villareal Javier
- Omar Jawdat
- Marandapalli R Jayaram
- Jayhawk Primary Care Inc
- Jayhawk Primary Care Inc
- Jayhawk Primary Care Inc
- Jayhawk Primary Care Inc
- Sue Ellen Jayne
- Courtney C Jeffery
All providers in Kansas City, KS · Internal Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.