Active NPI
Roy A Jensen, MD
- Anatomic Pathology Physician
- Kansas City, KS
National Provider Identifier
1972620243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 0431035
- Practice address
- 3901 Rainbow Blvd
1073 Delp Pavilion Mail Stop 3045
Kansas City, KS 66160-0001 - Phone
- (913) 588-7357
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 0431035 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
1073 Delp Pavilion Mail Stop 3045
Kansas City, KS 66160-0001
Mailing address
3901 Rainbow Blvd
4070 Delp Mail Stop 4017
Kansas City, KS 66160-0001
Phone (913) 588-7357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34446011 | Other | MO | BCBS KC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0431035 | KS | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Past | Accepting new patients | |
| Mawd Pathology Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Kansas City, KS
- NPI 1861538795
-
- Anatomic Pathology & Clinical Pathology Physician
- Lenexa, KS
- NPI 1033108519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972620243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "4070 DELP MAIL STOP 4017",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661600001",
"telephone_number": "913-588-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "1073 DELP PAVILION MAIL STOP 3045",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661600001",
"telephone_number": "913-588-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ROY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "KS",
"license": "0431035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "34446011",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.