Individual provider Active NPI

Jacob Lance Cloward, DO

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1962931873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94-09202 Issued in KS
Practice address
1010 N Kansas St
Wichita, KS 67214-3124
Phone
(316) 962-3070
NPI assigned
Jun 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-09202 KS Primary

Addresses

Primary practice location

1010 N Kansas St
Wichita, KS 67214-3124

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 962-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190715001817 KS Practitioner - Family Practice 2466723788 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

1124 W 21St St
Emergency Medicine
Andover, KS 67002-5500
Phone (316) 300-4911

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (316) 804-6005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
59.78
Promoting interoperability
97
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.73 of 100Reported as group
Quality
54.57
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-09202KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains of Ellinwood Inc. CurrentSince Oct 1, 2020 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Kansas Medical Center LLC Current Accepting new patients
Vigilias LLC CurrentSince Mar 1, 2020 Accepting new patients
Great Plains of Ellinwood, Inc. CurrentSince Oct 1, 2020 Accepting new patients
William Newton Memorial Hospital CurrentSince Mar 7, 2020 Accepting new patients
Newton Healthcare Corporation CurrentSince Jan 1, 2021 Accepting new patients
Hutchinson Regional Medical Center, Inc. Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Hillsboro Hospital LLC Family Medicine CurrentSince Apr 7, 2020 Accepting new patients
William Newton Memorial Hospital CurrentSince Mar 7, 2020 Accepting new patients
Kansas Medical Center, LLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Newton Healthcare Corporation Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Kansas Medical Center, LLC CurrentSince Oct 1, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Newton Healthcare Corporation Past Accepting new patients
Newman Memorial County Hospital Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

720 W Central Ave
#B
El Dorado, KS 67042
Phone (316) 321-3300

300 N Park Ave
Ellinwood, KS 67526
Phone (620) 564-2548

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

101 Industrial Rd
Hillsboro, KS 67063
Phone (620) 877-4165

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

415 N Main St
Ulysses, KS 67880
Phone (620) 356-1266

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Interoperability endpoints

  • Direct secure messaging: jacob.cloward@hca3.eclinicaldirectplus.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962931873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-962-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-962-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWARD",
        "first_name": "JACOB",
        "middle_name": "LANCE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-09202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.