DR. JAY D CROCKETT DO
NPI 1275577850
Radiology - Pediatric Radiology in Kansas City, MO

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2025, Jul 21, 2022 (2 updates tracked since 2022).

About Dr. Jay D Crockett Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY D CROCKETT DO (NPI 1275577850) is an individual pediatric radiology provider in Kansas City, Missouri, licensed in Missouri (113275) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The Children's Mercy Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1275577850
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameDR. JAY D CROCKETTCredential: DO
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd., Provider EnrollmentKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Fax(816) 302-9939
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1275577850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses Licensed in MO · 113275 Licensed in KS · 05-39181
Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

2401 GILLHAM RD, Kansas City, MO 64108

Other Identifiers 2

Medicaid245858501MO
Other300133399MO · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jay D Crockett Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254463045
PECOS Enrollment IDI20100714000342, I20240326000489
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Children's Mercy Hospital

Childrens · Kansas City, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number263302
Location2401 Gillham RoadKansas City, MO 64108 · Jackson County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Dentist (Pediatric Dentistry)
2401 GILLHAM RD
KANSAS CITY, MO 64108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Crockett's NPI number?

The NPI number for Jay Crockett is 1275577850. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jay Crockett located?

Jay Crockett practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Jay Crockett's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Jay Crockett enrolled in Medicare?

Yes. Jay Crockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jay Crockett accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Jay Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jay Crockett affiliated with any hospitals?

According to CMS data, Jay Crockett is affiliated with The Children's Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Jay Crockett was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.