Dany Jacob, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

2019026476 Issued in MO

Practice address

4330 Wornall Rd Ste 2000
Kansas City, MO 64111

Phone

(816) 931-1883

NPI assigned

Jun 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
• Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
• Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
• Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
• Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309

Merit-based Incentive Payment System (MIPS)

Final score

82.56 of 100Reported as group

Quality

76.07

Promoting interoperability

100

Improvement activities

40

Cost

65.79

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: djacob3919@direct.saint-lukes.org
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  KS

  Medicare reassignment Care Compare group NPD
• Saint Luke'S Hospital of Trenton

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127
  Medicare reassignment NPD
• Saint Lukes Hospital of Garnett Inc

  • General Practice Physician
  • Garnett, KS
  • NPI 1619901725
  Medicare reassignment NPD
• Saint Luke'S Hospital of Trenton

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD
• Saint Luke'S Hospital of Trenton

  • Rural Health Clinic/Center
  • Princeton, MO
  • NPI 1962877514
  NPD
• Saint Lukes Hospital of Chillicothe

  • Medicare Defined Swing Bed Hospital Unit
  • Chillicothe, MO
  • NPI 1881638203
  NPD
• Saint Lukes Hospital of Garnett Inc

  • Rural Health Clinic/Center
  • Colony, KS
  • NPI 1487075586
  NPD

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

• Saint Luke'S Hospital of Trenton

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Care Compare affiliation
• Saint Luke'S North Hospital

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1942241799
  Care Compare affiliation
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke'S Hospital of Kansas City

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation
• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337
  Care Compare affiliation

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1801150313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-599-9261",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-931-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "DANY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2019026476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Jackson, PHARMD
• Vanessa Rae Jackson, CRNA
• Victoria Renee Jackson, DO
• Warren Kieth Jackson, MD
• Aasems Jacob, MD
• Justin Joseph Jacob, PHARMD
• Jacobs Well of Kansas City Ministries
• Jacobs Well of Kansas City Ministries
• Jacobs Well of Kansas City Ministries
• Andrew A Jacobs, PHD

• Interventional Cardiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Interventional Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.

Verify at the official NPI Registry.