NPIMap

Organization Active NPI

Jayhawk Primary Care Inc

Doing business as Westwood Internal Medicine

  • Internal Medicine Physician
  • Westwood, KS
National Provider Identifier
1649475195
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JAYHAWK PRIMARY CARE INC
Doing business as
Westwood Internal Medicine
Practice address
2650 Shawnee Mission Pkwy
Westwood Internal Medicine, Suite 2201
Westwood, KS 66205-2003
Phone
(913) 588-9800
Fax
(913) 588-9803
NPI assigned
Jun 15, 2007
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
JAYHAWK PRIMARY CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Steven Brown
Title
PFS, Assistant Director
Phone
(913) 945-5603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2650 Shawnee Mission Pkwy
Westwood Internal Medicine, Suite 2201
Westwood, KS 66205-2003

Mailing address

2330 Shawnee Mission Pkwy
Medical Administrative Services of Ku Med. Ste. 312
Westwood, KS 66205-2005
Phone (913) 588-9856

Other identifiers 1

IdentifierTypeStateIssuer
100217070COtherKSJHPC KS MEDICAID GROUP#

Other names 1

  • Westwood Internal Medicine Doing business as

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1071233Westwood Internal Medicine2650 Shawnee Mission Pkwy, Suite 2201, Westwood, KS 66205Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kupi - Jayhawk8 organizations share this tax ID, including this one
Part of
Kupi - Jayhawk

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1649475195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SHAWNEE MISSION PKWY",
            "address_2": "MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE. 312",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052005",
            "telephone_number": "913-588-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SHAWNEE MISSION PKWY",
            "address_2": "WESTWOOD INTERNAL MEDICINE, SUITE 2201",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052003",
            "telephone_number": "913-588-9800",
            "fax_number": "913-588-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYHAWK PRIMARY CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAYHAWK PRIMARY CARE INC",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PFS, ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "913-945-5603"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHPC KS MEDICAID GROUP#",
            "identifier": "100217070C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westwood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.