Active NPI
Fady F Jabre, MD
- Family Medicine Physician
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0426398
- Practice address
- 2720 Stone Park Blvd
Unity Point Health - St. Luke's
Sioux City, IA 51104-3734 - Phone
- (712) 279-3500
- Fax
- (620) 272-2293
- NPI assigned
- Mar 15, 2007
- Last updated
- Jun 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0426398 | KS | |
| Emergency Medicine Physician | 207P00000X | 39462 | IA | |
| Family Medicine Physician | 207Q00000X | 0426398 | KS | Primary |
Addresses
Primary practice location
2720 Stone Park Blvd
Unity Point Health - St. Luke's
Sioux City, IA 51104-3734
Mailing address
2720 Stone Park Blvd
Unity Point Health - St. Luke's
Sioux City, IA 51104-3734
Phone (712) 279-3500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930086611 | Other | KS | RAILROAD THRU ST CATS ER |
| P00753162 | Other | KS | RAILROAD MCARE |
| 100268820F | Medicaid | KS | |
| 054539 | Other | KS | BCBS THRU ST CATS ER |
| 100268820D | Medicaid | KS | |
| 100268820B | Medicaid | KS | |
| 100268820G | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.74 of 100
- Quality
- 76.47
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39462 | IA | MD | Emergency Medicine Physician |
| 0426398 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Western Pathology Services PA | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Commonspirit Kansas, Inc. | Past | Accepting new patients | |
| St Catherine Hospital | Emergency Medicine | Past | Accepting new patients |
Locations
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
Interoperability endpoints
- fjabre128251@direct.unitypoint.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Anatomic Pathology & Clinical Pathology Physician
- Garden City, KS
- NPI 1114994290
-
dba St. Catherine Hospital - Garden City
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
-
dba St Catherine Emergency Physicians
- Emergency Medicine Physician
- Garden City, KS
- NPI 1942413372
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1639203276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"address_2": "UNITY POINT HEALTH - ST. LUKE'S",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-279-3500",
"fax_number": "820-275-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"address_2": "UNITY POINT HEALTH - ST. LUKE'S",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-279-3500",
"fax_number": "620-272-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABRE",
"first_name": "FADY",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "0426398",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "39462",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0426398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD THRU ST CATS ER",
"identifier": "930086611",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE",
"identifier": "P00753162",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100268820F",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS THRU ST CATS ER",
"identifier": "054539",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100268820D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100268820B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100268820G",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
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- Jason Solomon Jackson
- Raichatou Ann Jackson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.