Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry L Old, MD

Individual provider Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1285731752

Jerry L Old, MD is a Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician in Lenexa, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

15329 W 95th St
Lenexa, KS 66219-1262
Phone: (913) 599-1125
Fax: (913) 599-3554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081H0002X · Licence 04-16260 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 04-16260 (KS)

Record details

NPI number1285731752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 19, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address15329 W 95th St, Lenexa, KS 66219-1262