Active NPI
Samir Shaath, M.D.
- Obstetrics & Gynecology Physician
- Dodge City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0425146
- Practice address
- 2020 Central Ave
Dodge City, KS 67801 - Phone
- (620) 227-1371
- Fax
- (620) 227-1208
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0425146 | KS | Primary |
Addresses
Primary practice location
2020 Central Ave
Dodge City, KS 67801
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7782
Other practice location 1
310 E Walnut St
Garden City, KS 67846-5572
Phone (620) 275-9752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100158640A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 W Ross BLV
Suite 2a
Dodge City, KS 67801-7217
Hospital & facility affiliations
- Centura St. Catherine-Dodge City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0425146 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hodgeman County Health Center | Current | Accepting new patients | |
| Hodgeman County Health Center | Current | Accepting new patients | |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Hodgeman County Health Center | Current | Accepting new patients | |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Commonspirit Kansas, Inc. | Past | Accepting new patients |
Locations
2200 Summerlon Cir
Ste A
Dodge City, KS 67801
Phone (620) 371-7300
810 W Bramley St
Jetmore, KS 67854
Phone (620) 357-8354
809 W Bramley St
Jetmore, KS 67854
Phone (316) 357-8354
222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- https://api.platform.athenahealth.com/15770/brand/1/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1821098252
-
- Critical Access Hospital
- Minneola, KS
- NPI 1013009828
-
- Rural Health Clinic/Center
- Dodge City, KS
- NPI 1376625749
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1093821514
-
- Clinic/Center
- Jetmore, KS
- NPI 1790777324
-
- Clinic/Center
- Dodge City, KS
- NPI 1447986757
-
- Rural Health Clinic/Center
- Fowler, KS
- NPI 1700975729
-
- General Acute Care Hospital
- Dodge City, KS
- NPI 1689317190
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dodge City, KS
- NPI 1689317190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1023099686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7782",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CENTRAL AVE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "67801",
"telephone_number": "620-227-1371",
"fax_number": "620-227-1208"
}
],
"practiceLocations": [
{
"address_1": "310 E Walnut St",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "KS",
"postal_code": "678465572",
"country_code": "US",
"telephone_number": "620-275-9752",
"fax_number": "620-275-4306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAATH",
"first_name": "SAMIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "0425146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100158640A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.