Individual provider Active NPI

Jacob Morgan Kneeman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
National Provider Identifier
1659734101
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
FG257583 Issued in KS
Practice address
10995 Quivira Rd
Overland Park, KS 66210-1207
Phone
(913) 339-9437
Fax
(913) 339-9538
NPI assigned
Apr 1, 2016
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X FG257583 KS Primary

Addresses

Primary practice location

10995 Quivira Rd
Overland Park, KS 66210-1207

Mailing address

10995 Quivira Rd
Overland Park, KS 66210-1207
Phone (913) 339-9437

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
I20210409001010 KS Practitioner - Pain Management 5991129694 Reassigns benefits to 3 organizations
I20210503001572 MO Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5991129694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Pain ManagementGroup PAC ID 0143125575, 8 clinicians

Practice addresses (Care Compare)

2000 SE Blue Pkwy
240 Anesthesiology Professionals PA
Lees Summit, MO 64063-1045
Phone (913) 339-9437

5675 Roe Blvd
Suite 210
Roeland Park, KS 66205-2515
Phone (913) 339-9437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.48 of 100Reported as individual
Quality
45.93
Improvement activities
0
Cost
63.69

Merit-based Incentive Payment System (MIPS)

Final score
75.72 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
61.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FG257583KSMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Pain Management Pain Medicine CurrentSince Apr 8, 2021 Accepting new patients
Kansas Surgery Center, LLC CurrentSince Mar 30, 2022 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Sep 21, 2021 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Sep 21, 2021 Accepting new patients
Kansas Pain Management Pain Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

4100 W 6th St
Lawrence, KS 66049

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

1301 S Main St
Ste 4
Ottawa, KS 66067

10995 Quivira Rd
Overland Park, KS 66210
Phone (913) 685-2211

10995 Quivira Rd
Ste 200
Overland Park, KS 66210

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2000 SE Blue Pkwy
Ste 240
Lees Summit, MO 64063
Phone (816) 282-5821

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.

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1659734101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEEMAN",
        "first_name": "JACOB",
        "middle_name": "MORGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "FG257583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.