Individual provider Active NPI

Paul Allan Jabour, MD

  • Diagnostic Radiology Physician
  • Clive, IA
National Provider Identifier
1891089868
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
44317 Issued in IA
Practice address
12368 Stratford Dr Ste 300
Clive, IA 50325
Phone
(515) 226-2122
NPI assigned
Jun 7, 2011
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44317 IA Primary

Addresses

Primary practice location

12368 Stratford Dr Ste 300
Clive, IA 50325

Mailing address

4200 University Ave Ste 104
West Des Moines, IA 50266-5945
Phone (515) 226-2122

Other practice location 1

1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Phone (515) 241-5995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170714002218 IA Practitioner - Diagnostic Radiology 5698068187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Radiology P CGroup PAC ID 2264323468, 37 clinicians
Iowa Diagnostic Imaging and Procedure Center, L CGroup PAC ID 1658263546, 36 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6171

1221 Pleasant St
Suite 350
Des Moines, IA 50309-1420
Phone (515) 226-9810

12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 228-9810

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1800

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-2355

300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-5101

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 794-5202

3200 Grand Ave
FL 5
Des Moines, IA 50312-4104
Phone (515) 271-1707

700 E University Ave
Unity Point Hosp
Des Moines, IA 50316-2302
Phone (515) 263-5612

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.72 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
58.57

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
78.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44317IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines University Osteopathic Medical Center CurrentSince Oct 15, 2018 Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 12, 2018 Accepting new patients
Des Moines University Osteopathic Medical Center Diagnostic Radiology CurrentSince Oct 15, 2018 Accepting new patients

Locations

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

3200 Grand Ave
Fl 5
Des Moines, IA 50312
Phone (515) 271-1707

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1891089868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 UNIVERSITY AVE STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665945",
            "telephone_number": "515-226-2122",
            "fax_number": "515-961-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12368 STRATFORD DR STE 300",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "515-226-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Woodland Ave",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093203",
            "country_code": "US",
            "telephone_number": "515-241-5995",
            "fax_number": "515-241-6576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABOUR",
        "first_name": "PAUL",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "44317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.