NPIMap

Individual provider Active NPI

Jacob W Brubacher, M.D.

  • Orthopaedic Surgery Physician
  • Kansas City, KS
National Provider Identifier
1972824217
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L-244081 Issued in MA
Practice address
University of Kansas Medical Ctr
Mail Stop 3017, 3901 Rainbow Boulevard
Kansas City, KS 66160-0001
Phone
(913) 588-6100
NPI assigned
Jun 22, 2010
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L-244081 MA Primary

Addresses

Primary practice location

University of Kansas Medical Ctr
Mail Stop 3017, 3901 Rainbow Boulevard
Kansas City, KS 66160-0001

Mailing address

University of Kansas Medical Ctr
Mail Stop 3017, 3901 Rainbow Boulevard
Kansas City, KS 66160-0001
Phone (913) 588-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829002038 KS Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8820256688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Yale University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

100 E Kansas St
Suite C
Lansing, KS 66043-1610
Phone (913) 758-0283

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-244081MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 1, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
Stop 3017
Kansas City, KS 66160
Phone (913) 588-6100

Interoperability endpoints

  • Direct secure messaging: jbrubacher550970@direct.kuha.org

Organizations & group practices 4

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 6

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1972824217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS MEDICAL CTR",
            "address_2": "MAIL STOP 3017, 3901 RAINBOW BOULEVARD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS MEDICAL CTR",
            "address_2": "MAIL STOP 3017, 3901 RAINBOW BOULEVARD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBACHER",
        "first_name": "JACOB",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "L-244081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.