AB JETMORE MD LLC
AB JETMORE MD LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114258886, based in Lenexa, KS. It is classified under Colon & Rectal Surgery Physician.
Getting there
The practice address on file is 21106 W 95TH TER, Lenexa, KS 66220. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 04-24436 | KS | Colon & Rectal Surgery Physician primary |
This provider holds licence 04-24436 issued in KS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8426187659
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Kansas | O20100527000072 | Part B Supplier - Clinic/group Practice |
| Missouri | O20110826000368 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (KS, MO). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Colon & Rectal Surgery covers
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NUCC Health Care Provider Taxonomy, code 208C00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1114258886 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 20, 2010 |
| Last updated | Dec 23, 2010 |
| Status | Active |
| Practice address |
21106 W 95TH TER Lenexa, KS 66220 (913) 322-8859 Fax (888) 778-9471 |
| Mailing address |
PO BOX 7673 Overland Park, KS 66207 |
| Other identifiers |
4221151
· Other (KS) 42525017 · Other (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 2 | 5 | 8 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 4 | 5 | 7 | 8 | 7 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.