Active NPI
Jay Babulal Patel, D.O.
- Family Medicine Physician
- Liberty, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011016726
- Practice address
- 2609 Glenn Hendren Dr
Liberty, MO 64068-3313 - Phone
- (816) 781-7730
- Fax
- (816) 781-6973
- NPI assigned
- Jun 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2011016726 | MO | Primary |
Addresses
Primary practice location
2609 Glenn Hendren Dr
Liberty, MO 64068-3313
Mailing address
PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 781-7730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2609 Glenn Hendren Dr
Liberty, MO 64068-3313
Phone (816) 781-7730
8300 N Church Rd
Kansas City, MO 64158-1104
Phone (816) 407-2300
Hospital & facility affiliations
- Specialized Home Care
- Liberty Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011016726 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Liberty Hospital Corporation | Family Medicine | Current | Accepting new patients |
| Liberty Hospital Urgent Care, LLC | Current | Accepting new patients | |
| Family Health Specialist of Lee'S Summit, LLC | Family Medicine | Current | Accepting new patients |
Locations
8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300
305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409
2000 SE Blue Pkwy
Ste 270B
Lees Summit, MO 64063
Phone (816) 333-5005
1301 SW Arborwalk Blvd
#A
Lees Summit, MO 64082
Phone (816) 537-6232
2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555
Interoperability endpoints
- jay.pateldo.p2@direct.nlhc.nextgenshare.com
- jay.pateldo.p11@direct.nlhc.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1558778373
-
- Family Medicine Physician
- Kearney, MO
- NPI 1669734661
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1871540658
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Independence, MO
- NPI 1427478213
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1710273677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219672",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641219672",
"telephone_number": "816-781-7730",
"fax_number": "816-781-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 GLENN HENDREN DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683313",
"telephone_number": "816-781-7730",
"fax_number": "816-781-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAY",
"middle_name": "BABULAL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2011016726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.