Individual provider Active NPI

Jennifer S Koontz, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Newton, KS
National Provider Identifier
1407926868
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
04-32109 Issued in KS
Practice address
800 Medical Center Dr
Newton, KS 67114-7808
Phone
(316) 283-9977
Fax
(316) 283-0966
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 04-32109 KS Primary

Addresses

Primary practice location

800 Medical Center Dr
Newton, KS 67114-7808

Mailing address

800 Medical Center Dr
Newton, KS 67114-7808
Phone (316) 283-9977

Other identifiers 1

IdentifierTypeStateIssuer
200409950AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000204 KS Practitioner - Family PracticePractitioner - Sports Medicine 7214936590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

1400 S Kansas Ave
Suite 1200
Newton, KS 67114-5305
Phone (316) 677-8877

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (316) 283-2700

800 Medical Ctr Dr
Newton, KS 67114-7808
Phone (316) 283-0027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.73 of 100Reported as group
Quality
54.57
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Healthcare Corporation CurrentSince Dec 14, 2011 Accepting new patients
Newton Healthcare Corporation CurrentSince Dec 14, 2011 Accepting new patients

Locations

800 Medical Center Dr
Newton, KS 67114
Phone (316) 283-0027

800 Medical Center Dr
Fl 2
Newton, KS 67114
Phone (316) 330-3636

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1407926868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671147808",
            "telephone_number": "316-283-9977",
            "fax_number": "316-283-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671147808",
            "telephone_number": "316-283-9977",
            "fax_number": "316-283-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-32109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200409950A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.