Individual provider Active NPI

Sheza Faruqi, PA-C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1013725803
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025009771 Issued in MO
Practice address
8033 Holmes Rd
Kansas City, MO 64131-2115
Phone
(855) 700-8184
NPI assigned
Dec 25, 2024
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2025009771 MO Primary
Physician Assistant 363A00000X 15-03181 KS

Addresses

Primary practice location

8033 Holmes Rd
Kansas City, MO 64131-2115

Mailing address

415 W Golf Rd Ste 26
Arlington Heights, IL 60005-3923
Phone (855) 700-8184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250903001683 MO Practitioner - Physician Assistant 8820599509 Reassigns benefits to 2 organizations
I20260219002745 KS Practitioner - Physician Assistant 8820599509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Family Medicine PCGroup PAC ID 2961558622, 6 clinicians
Liveactive Primary Care LLCGroup PAC ID 9537414321, 3 clinicians

Practice addresses (Care Compare)

3406 Broadway Blvd
Suite B
Kansas City, MO 64111-2767
Phone (816) 756-5839

6650 W 110TH St
Suite 220
Overland Park, KS 66211-1501
Phone (913) 549-3884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-03181KSMDPhysician Assistant
2025009771MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Liveactive Primary Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Cardiorenal Vision of Missouri LLC CurrentSince Aug 3, 2025 Accepting new patients
Liveactive Multispecialty Physician Group LLC PastSince Jul 3, 2022 Accepting new patients

Locations

7111 W 151st St
Overland Park, KS 66223
Phone (785) 403-0405

3406 Broadway Blvd
Ste B
Kansas City, MO 64111
Phone (816) 756-5839

500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600

Interoperability endpoints

  • Direct secure messaging: sheza.faruqi@942222112063492.direct.elationemr.com
  • Direct secure messaging: sheza.faruqi@mfm.directbygreenway.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1013725803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 26",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "855-700-8184",
            "fax_number": "224-633-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641312115",
            "telephone_number": "855-700-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQI",
        "first_name": "SHEZA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-25",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025009771",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.