NPIMap

Organization Active NPI

Jayhawk Primary Care Inc

  • 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
Practice address
1403 Grand Blvd
Kansas City, MO 64106-2917
Phone
(816) 268-4295
Fax
(816) 268-4297
NPI assigned
Jul 9, 2018
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 6

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

National Provider Directory

National Provider Directory
Tax ID family
Jayhawk Primary Care Inc8 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.

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2021.

{
    "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.