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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKSON KLUMP STUDENT
NPI 1942083811
Internal Medicine in Kansas City, KS

Active since August 15, 2023PECOS Enrolled
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160(913) 588-1227 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Aug 15, 2023 (2 updates tracked since 2023).

About Jackson Klump Student NPPES

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

JACKSON KLUMP STUDENT (NPI 1942083811) is an individual internal medicine provider in Kansas City, Kansas, licensed in Kansas (94-12680) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942083811
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACKSON KLUMPCredential: STUDENT
Location Address3901 RAINBOW BLVD # MS 2027Kansas City, KS 66160-8500
Mailing Address3901 Rainbow Blvd # Ms 2027Kansas City, KS 66160-8500 · (913) 588-1227
Phone(913) 588-1227
Sole ProprietorNo
Enumeration DateAugust 15, 2023
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1942083811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 94-12680
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3901 RAINBOW BLVD # MS 2027, Kansas City, KS 66160
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Klump Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ARIEL LEE BARNHART DO
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
KRISTIN N FEE D.O.
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
DEVAN SIERRA CROW
Radiology (Diagnostic Radiology)
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1227
PRAVEEN SUBRAMANIAN
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6050
MARY MITCHELL MD
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
ERIK MICHAEL WAY MD
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
DR. WARREN R BALAJA III MD
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
DR. SURYANSHI RAWAT MD
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974

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 Jackson Klump's NPI number?

The NPI number for Jackson Klump is 1942083811. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Jackson Klump located?

Jackson Klump practices at 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160. The listed phone number is (913) 588-1227.

What is Jackson Klump's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jackson Klump enrolled in Medicare?

Yes. Jackson Klump is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Klump was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.