Individual provider Active NPI

Jay Babulal Patel, D.O.

  • Family Medicine Physician
  • Liberty, MO
National Provider Identifier
1710273677
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011016726 Issued in MO
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

Updated by the provider on Sep 26, 2014

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731001920 MO Practitioner - Family Practice 6103042908 Reassigns benefits to 3 organizations

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
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians
Liberty Hospital Urgent Care, LLCGroup PAC ID 3375866163, 14 clinicians

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 Home health agency, Independence, MO, CCN 267653
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011016726MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Corporation Family Medicine Current Accepting new patients
Liberty Hospital Urgent Care, LLC CurrentSince Jan 12, 2015 Accepting new patients
Family Health Specialist of Lee'S Summit, LLC Family Medicine CurrentSince Oct 1, 2017 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

  • Direct secure messaging: jay.pateldo.p2@direct.nlhc.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.