NPIMap

Organization Active NPI

Jayhawk Primary Care Inc

  • Internal Medicine Physician
  • Kansas City, KS
National Provider Identifier
1376324152
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JAYHAWK PRIMARY CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Stephanie Sparks
Title
Asst. Director
Phone
(720) 635-9322

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Kupi - Jayhawk

Locations

4000 Cambridge St
#G110
Kansas City, KS 66160
Phone (913) 588-6512

6511 Johnson Dr
Mission, KS 66202
Phone (573) 203-3699

15435 W 134th Pl
Ste 103
Olathe, KS 66062
Phone (913) 355-7515

2090 W Dartmouth St
Olathe, KS 66061
Phone (913) 355-8300

20920 W 151st St
Ste 100C
Olathe, KS 66061

10777 Nall Ave
Ste 140
Overland Park, KS 66211
Phone (913) 754-4599

10787 Nall Ave
Ste 310
Overland Park, KS 66211
Phone (913) 945-6800

301 E Miller St
Prescott, KS 66767
Phone (913) 471-4315

12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684

3139 Prospect Ave
Kansas City, MO 64128
Phone (816) 395-3772

Practitioners & affiliated clinicians

Practitioners 213

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1376324152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 CORPORATE AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191374",
            "telephone_number": "913-588-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYHAWK PRIMARY CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAYHAWK PRIMARY CARE INC",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ASST. DIRECTOR",
        "authorized_official_telephone_number": "720-635-9322"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.