Active NPI
Atman Shah, M.D.
- Medical Oncology Physician
- Joplin, MO
National Provider Identifier
1023219698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 2013021419
- Practice address
- 3415 McIntosh Cir
Joplin, MO 64804-3651 - Phone
- (417) 347-4000
- Fax
- (417) 347-4064
- NPI assigned
- May 30, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME105529 | FL | |
| Medical Oncology Physician | 207RX0202X | NUMBER PENDING | NV | |
| Medical Oncology Physician | 207RX0202X | 2013021419 | MO | Primary |
Addresses
Primary practice location
3415 McIntosh Cir
Joplin, MO 64804-3651
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130916000754 | MO | Practitioner - Hematology/Oncology | 9739373309 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3415 McIntosh Cir
Joplin, MO 64804-3651
Phone (417) 347-4000
Hospital & facility affiliations
- Freeman Health System - Freeman West
- Freeman Neosho Hospital
- Mercy Hospital Carthage
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUMBER PENDING | NV | MD | Medical Oncology Physician |
Practice roles (1 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Past | Accepting new patients |
Networks
- IA HMO
- IA HMO C-SNP
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1023219698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810",
"telephone_number": "417-347-4000",
"fax_number": "417-347-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 MCINTOSH CIR",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043651",
"telephone_number": "417-347-4000",
"fax_number": "417-347-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ATMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME105529",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NV",
"license": "NUMBER PENDING",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MO",
"license": "2013021419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.