NPIMap

Organization Active NPI

Jayhawk Primary Care Inc

Doing business as The University of Kansas Health System- Family Medicine

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1831685353
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAYHAWK PRIMARY CARE INC
Doing business as
The University of Kansas Health System- Family Medicine
Practice address
1403 Grand Blvd
Kansas City, MO 64106-2917
Phone
(816) 268-4295
Fax
(816) 268-4297
NPI assigned
Jul 9, 2018
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Carrie Janell Jordan
Title
Senior Administrator, JPC Admin.
Phone
(913) 945-5592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1403 Grand Blvd
Kansas City, MO 64106-2917

Mailing address

1403 Grand Blvd
Kansas City, MO 64106-2917
Phone (816) 268-4295

Other names 1

  • The University of Kansas Health System- Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000219 MO Part B Supplier - Clinic/Group Practice 8123928900 Receives reassigned benefits from 27 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, MO; Grandview, MO; Gladstone, MO

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jayhawk Rimary Care8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1831685353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 GRAND BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062917",
            "telephone_number": "816-268-4295",
            "fax_number": "816-268-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GRAND BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062917",
            "telephone_number": "816-268-4295",
            "fax_number": "816-268-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYHAWK PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "JANELL",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR, JPC ADMIN.",
        "authorized_official_telephone_number": "913-945-5592"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The University of Kansas Health System- Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.