Individual provider Active NPI

Jacob M Redel, MD

  • Pediatric Endocrinology Physician
  • Topeka, KS
National Provider Identifier
1588954655
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
04-43051 Issued in KS
Practice address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone
(785) 354-6000
Fax
(785) 354-0542
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.121290 OH
Pediatric Endocrinology Physician 2080P0205X 35.121290 OH
Pediatric Endocrinology Physician 2080P0205X 04-43051 KS Primary
Pediatric Endocrinology Physician 2080P0205X 2020011238 MO

Addresses

Primary practice location

1500 SW 10TH Ave
Topeka, KS 66604-1301

Mailing address

1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 1

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jredel101341@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address jredel101341@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200624002078 KS Practitioner - Pediatric MedicinePractitioner - Endocrinology 3476879073 Reassigns benefits to 3 organizations
I20240410002401 MO Practitioner - Pediatric Medicine 3476879073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Childrens Mercy HospitalGroup PAC ID 2466366026, 143 clinicians

Practice addresses (Care Compare)

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

5808 W 110TH St
Overland Park, KS 66211-2504
Phone (913) 696-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020011238MOMDPediatric Endocrinology Physician
35.121290OHMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 1, 2020 Accepting new patients
Kansas University Physicians Inc Pediatrics CurrentSince Sep 26, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 1, 2020 Accepting new patients
The Children'S Mercy Hospital Pediatrics CurrentSince Apr 4, 2024 Accepting new patients
The Children'S Mercy Hospital CurrentSince Apr 4, 2024 Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 26, 2024 Accepting new patients
Kansas University Physicians Inc Pediatrics Current Accepting new patients
The Children'S Mercy Hospital Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000

3520 SW 6th Ave
Topeka, KS 66606
Phone (785) 234-0880

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

909 SW Mulvane St
Topeka, KS 66606
Phone (785) 357-0301

901 SW Garfield Ave
Topeka, KS 66606

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

Interoperability endpoints

  • Direct secure messaging: jredel101341@stormontvaildirect.org
  • Direct secure messaging: jredel746403@direct.kuha.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1588954655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000",
            "fax_number": "785-354-0542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64108",
            "country_code": "US",
            "telephone_number": "816-234-3000",
            "fax_number": "816-302-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDEL",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.121290",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "OH",
            "license": "35.121290",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "KS",
            "license": "04-43051",
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MO",
            "license": "2020011238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jredel101341@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3520 SW 6th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666062806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jredel101341@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3520 SW 6th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666062806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.