NPIMap

Individual provider Active NPI

Jahan Q. Zeb, MD

  • Interventional Cardiology Physician
  • Joplin, MO
National Provider Identifier
1699710996
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2009018359 Issued in MO
Practice address
100 Mercy Way
Ste 320-330
Joplin, MO 64804-4524
Phone
(417) 781-5387
Fax
(417) 781-7174
NPI assigned
Jun 19, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2009018359 MO
Interventional Cardiology Physician 207RI0011X 2009018359 MO Primary

Addresses

Primary practice location

100 Mercy Way
Ste 320-330
Joplin, MO 64804-4524

Mailing address

100 Mercy Way
Ste 320-330
Joplin, MO 64804-4524
Phone (417) 781-5387

Other identifiers 3

IdentifierTypeStateIssuer
7294OtherECFMG
1669710996MedicaidMO
200114230AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000313 MO Practitioner - Cardiovascular Disease (Cardiology) 8022018027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
330 Mercy Clinic Joplin Heart Care
Joplin, MO 64804-4524
Phone (417) 781-5387

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009018359MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC Cardiovascular Disease CurrentSince Jul 1, 2015 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 11, 2020 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Cardiovascular Disease CurrentSince Apr 7, 2014 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 11, 2020 Accepting new patients
Mercy Clinic Joplin LLC Cardiovascular Disease PastSince Jul 1, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Blue Stem Cardiology PC Cardiovascular Disease Past Accepting new patients

Locations

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 320
Joplin, MO 64804
Phone (417) 556-8500

100 Mercy Way
Ste 320330
Joplin, MO 64804
Phone (417) 627-9993

2360 Katy Ln
Poplar Bluff, MO 63901
Phone (573) 712-2546

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: jzeb705980@directc.mercy.net
  • Direct secure messaging: jzeb706596@directb.mercy.net

Organizations & group practices 7

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1699710996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "address_2": "STE 320-330",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-5387",
            "fax_number": "417-781-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "address_2": "STE 320-330",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-5387",
            "fax_number": "417-781-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEB",
        "first_name": "JAHAN",
        "middle_name": "Q.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2009018359",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2009018359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "7294",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669710996",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200114230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.