Active NPI
Jack L Stuber, M.D.
- Specialist
- Lawrence, KS
National Provider Identifier
1649226101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0413803
- Practice address
- 1112 W 6TH St
Suite 110
Lawrence, KS 66044-2215 - Phone
- (785) 841-3211
- NPI assigned
- May 26, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0413803 | KS | Primary |
Addresses
Primary practice location
1112 W 6TH St
Suite 110
Lawrence, KS 66044-2215
Mailing address
2500 W 64TH St
Mission Hills, KS 66208-1912
Phone (785) 841-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0413803 | KS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologic Professional Services. P.a. | Specialist | Past | Accepting new patients |
| Alliance Radiology, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Shawnee Mission, KS
- NPI 1467400663
-
- Specialist
- Lawrence, KS
- NPI 1093756926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649226101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W 64TH ST",
"city": "MISSION HILLS",
"state": "KS",
"postal_code": "662081912",
"telephone_number": "785-841-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 W 6TH ST",
"address_2": "SUITE 110",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442215",
"telephone_number": "785-841-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBER",
"first_name": "JACK",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "0413803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.