Jared Kevern, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2020025522 Issued in MO

Practice address

1425 NW Blue Pkwy
Lees Summit, MO 64086-5705

Phone

(816) 524-5600

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jared.kevern.1@25804.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25804/brand/1/csg/1/fhir/r4
• 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.

• Children'S Mercy-Community Choice Pediatrics

  • Pediatrics Physician
  • Lees Summit, MO
  • NPI 1114540085

  Pediatrics

  NPD (past)
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1871029652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 SW FLINTROCK DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824871",
            "telephone_number": "913-940-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865705",
            "telephone_number": "816-524-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVERN",
        "first_name": "JARED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "70499-20",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2020025522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemper Communication, PC
• Teresa Gail Kemper, SLP
• Jennifer Kendall, LPC
• Michelle Renee Keppler, LSCSW, LMAC
• Erica R Ketchem, DDS
• Khanzada LLC
• Wed Khizirpour, DDS
• Lydia Khosravipour
• Kidz First Therapy
• Todd Wesley Kilgore, MD

• All providers in Lees Summit, MO
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.