JERRY L OLD (M.D.) – Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1285731752

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

JERRY L OLD (M.D.) is a healthcare provider. based in Lenexa, Kansas. specializing in Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician. They hold the professional credentials M.D.. They hold a License No. 04-16260 (KS). The NPI Number for JERRY L OLD (M.D.) is 1285731752

Main info

Male

52 Years Of Experience

Accepts Medicare Assignment

Name

JERRY L OLD (M.D.)

NPI

1285731752

Phone

(913) 599-1125

Address

15329 W 95TH ST

Enumeration Date

19 September 2006

Last Update Date

11 September 2025

Doctor Profile

Medical School Name

UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)

Secondary Phone

6202213350

Graduation Year

1974 (52 years ago)

PAC ID

3779524764

Group Practice PAC ID

9537473095

Professional Enrollment ID

I20050519000872

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience57

Completeness85

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JERRY L OLD (M.D.)

West 95th Street, Lenexa, Johnson County, Kansas, 66215, United States
LENEXA, KS 662191262
Phone: (913) 599-1125
Fax: (913) 599-3554
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9537473095View full group profile

Name	Specialty	State
JUSTIN CHIDI ARINZE ONWUGBUFOR	Physician Assistant	NE
MS. SHARON S SHEPARD (LSCSW)	Clinical Social Worker	KS
TREASURE A WEHNER (D.O.)	General Practice	KS
DR. DAISY ANN SORIANO MATIAS (MD)	Family Practice	KS
MICHELLE RENEE BLAIR-WUNDERLICH (NP)	Nurse Practitioner	KS
LAURYN RAYFIELD	Nurse Practitioner	KS

Reviews

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Frequently asked questions

How do I look up JERRY L OLD (M.D.) by NPI?

Use NPI 1285731752 when you need to reference JERRY L OLD (M.D.) in forms, claims, or directories.

Is JERRY L OLD (M.D.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does JERRY L OLD (M.D.) treat or focus on?

Patients typically see JERRY L OLD (M.D.) under the specialty Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.

Does JERRY L OLD (M.D.) practice in Kansas?

You will see Lenexa, Kansas on file for JERRY L OLD (M.D.) alongside any extra practice locations.

How can I contact JERRY L OLD (M.D.)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.