Individual provider Active NPI

Paul J Jaster, MD

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1710097118
Registry record updated Jan 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-20725 Issued in KS
Practice address
2036 Marc St
Salina, KS 67401-6722
Phone
(785) 827-0431
NPI assigned
Aug 30, 2006
Last updated
Jan 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-20725 KS Primary

Addresses

Primary practice location

2036 Marc St
Salina, KS 67401-6722

Mailing address

2036 Marc St
Salina, KS 67401-6722
Phone (785) 827-0431

Other identifiers 1

IdentifierTypeStateIssuer
100115620BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000498 KS Practitioner - Family PracticePractitioner - Emergency Medicine 8325229792 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greeley County Health Services IncGroup PAC ID 0042233496, shared by 5 NPIs, 26 clinicians

Practice addresses (Care Compare)

PO Box
Suite 640
Tribune, KS 67879-0640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-20725KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips County Hospital CurrentSince May 26, 2023 Accepting new patients
Phillips County Hospital CurrentSince May 26, 2023 Accepting new patients
Phillips County Hospital Current Accepting new patients
Meade Hospital District CurrentSince Feb 1, 2022 Accepting new patients
Meade Hospital District Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Meade Hospital District Current Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients
Meade Hospital District Past Accepting new patients

Locations

1150 State St
Phillipsburg, KS 67661
Phone (785) 543-5226

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/

Organizations & group practices 8

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 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293840000000",
    "number": "1710097118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 MARC ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016722",
            "telephone_number": "785-827-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 MARC ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016722",
            "telephone_number": "785-827-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTER",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-20725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115620B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.