Individual provider Active NPI

Jason Michael Rarick, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Overland Park, KS
National Provider Identifier
1740416023
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
04-37149 Issued in KS
Practice address
7301 College Blvd
Suite 110
Overland Park, KS 66210-1937
Phone
(913) 341-6297
Fax
(913) 341-6299
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-37149 KS Primary

Addresses

Primary practice location

7301 College Blvd
Suite 110
Overland Park, KS 66210-1937

Mailing address

7301 College Blvd
Suite 110
Overland Park, KS 66210-1937
Phone (913) 341-6297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20160406001600 MO Practitioner - Pathology 6608174768 Reassigns benefits to 1 organization
I20160511001198 KS Practitioner - Pathology 6608174768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Cincinnati College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irl Pathology Services Midamerica LLCGroup PAC ID 0840558664, 14 clinicians

Practice addresses (Care Compare)

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4593

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6167

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Irl Pathology Services Midamerica, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 8, 2018 Accepting new patients

Locations

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

Organizations & group practices 1

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1740416023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 COLLEGE BLVD",
            "address_2": "SUITE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101937",
            "telephone_number": "913-341-6297",
            "fax_number": "913-341-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 COLLEGE BLVD",
            "address_2": "SUITE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101937",
            "telephone_number": "913-341-6297",
            "fax_number": "913-341-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RARICK",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-37149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.