Ab Jetmore MD LLC
NPI 1114258886 · Colon & Rectal Surgery Physician · Lenexa, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ab Jetmore MD LLC is a Colon & Rectal Surgery Physician organization in Lenexa, KS (NPI 1114258886).
Provider details
- NPI number
- 1114258886
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allen Jetmore, Sole Member(913) 829-7716
- License
- 04-24436 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-01-20
- Last updated
- 2010-12-23
Frequently asked questions
- What is Ab Jetmore MD LLC's NPI number?
- Ab Jetmore MD LLC's National Provider Identifier (NPI) is 1114258886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ab Jetmore MD LLC?
- Ab Jetmore MD LLC is classified in the NPPES registry as Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ab Jetmore MD LLC located?
- Ab Jetmore MD LLC's practice location on file with NPPES is 21106 W 95th Ter, Lenexa, KS 66220-5600.
- What is Ab Jetmore MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Ab Jetmore MD LLC is (913) 322-8859.
- Does Ab Jetmore MD LLC accept Medicare?
- Ab Jetmore MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ab Jetmore MD LLC?
- The authorized official listed on Ab Jetmore MD LLC's NPPES record is Allen Jetmore, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ab Jetmore MD LLC's NPI active?
- Yes — Ab Jetmore MD LLC's NPI (1114258886) is active in the NPPES registry as of the last update on 2010-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.