Individual provider Active NPI

Javaneh Jabbari, MD

  • Surgery Physician
  • Kansas City, KS
National Provider Identifier
1942792189
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9409534 Issued in KS
Practice address
4000 Cambridge St
Kansas City, KS 66160-8501
Phone
(443) 803-0041
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9409534 KS Primary

Addresses

Primary practice location

4000 Cambridge St
Kansas City, KS 66160-8501

Mailing address

718 Providence Rd
Towson, MD 21286-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250905002245 MD Practitioner - Vascular Surgery 7416205786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Creighton University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vascular Specialty Services, LLCGroup PAC ID 2466443197, 7 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
FL 5
Baltimore, MD 21202-2102
Phone (410) 332-9404

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9409534KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Specialty Services, LLC CurrentSince Aug 14, 2025 Accepting new patients

Locations

301 Saint Paul St
Fl 5
Baltimore, MD 21202

3290 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 801-2273

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: jjabbari554899@ahs.direct-ci.com
  • Direct secure messaging: jjabbari95063@direct.mdmercy.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1942792189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 PROVIDENCE RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "443-803-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBARI",
        "first_name": "JAVANEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "9409534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.