Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063263176 Individual Practitioner Male Practitioner

Dr. Kayvon Jabbari , MD

Plastic Surgery • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kayvon Jabbari, MD is a registered healthcare professional specializing in Plastic Surgery in Springfield, IL. Practice services are available at 747 N RUTLEDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St

Springfield, IL 627026700

Telephone 2175458000
Fax 2175452588
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Springfield, IL (236 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IL 125.088825

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License IL 125.088825

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 08, 2026

Registered at 747 N RUTLEDGE ST, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

📍
Updated Business Mailing Address July 08, 2026

Registered at PO BOX 19653, SPRINGFIELD, IL 627949653

👤
Provider Name / Credentials Updated July 08, 2026

Recorded as KAYVON JABBARI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Plastic Surgery (License #125.088825 in IL)

NPI Profile Active March 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2024

Registered at 13001 E 17TH PL # P, AURORA, CO 800452570 (Tel: 3037245000)

📍
Updated Business Mailing Address March 27, 2024

Registered at 13001 E 17TH PL # P, AURORA, CO 800452570

👤
Provider Name / Credentials Updated March 27, 2024

Recorded as KAYVON JABBARI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063263176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2024
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

Po Box 19653

Springfield, IL 627949653

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.