Individual provider Active NPI

Anthony Shaw, MD

  • Psychiatry Physician
  • Wichita, KS
National Provider Identifier
1043878036
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
94-09956 Issued in KS
Practice address
1010 N Kansas St
Wichita, KS 67214-3124
Phone
(316) 293-2647
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 94-09956 KS Primary

Addresses

Primary practice location

1010 N Kansas St
Wichita, KS 67214-3124

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2647

Other practice location 1

9415 E Harry St Ste 800
Wichita, KS 67207-5084
Phone (316) 652-2590

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126000995 KS Practitioner - Psychiatry 8224364971 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians
Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians
Mental Health America of South Central Kansas, Inc.Group PAC ID 1153400197, 13 clinicians

Practice addresses (Care Compare)

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

550 N Hillside St
Wesley Medical Center
Wichita, KS 67214-4910
Phone (316) 350-4014

7447 W Village Cir
Coterra of Wichita
Wichita, KS 67205-2625
Phone (316) 350-4014

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

9415 E Harry St
Suite 800
Wichita, KS 67207-5084
Phone (316) 652-2590

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Oct 1, 2025 Accepting new patients
Mental Health America of South Central Kansas, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Dec 1, 2024 Accepting new patients
Wichita Psychiatric Group LLC Psychiatry CurrentSince Jan 24, 2026 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Dec 1, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Oct 1, 2025 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Corterra of Wichita, LLC Past Accepting new patients

Locations

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

7447 W Village Cir
Wichita, KS 67205
Phone (316) 350-4014

9415 E Harry St
Ste 800
Wichita, KS 67207
Phone (316) 652-2590

555 N Woodlawn St
Ste 3105
Wichita, KS 67208
Phone (316) 651-1201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1043878036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9415 E Harry St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672075084",
            "country_code": "US",
            "telephone_number": "316-652-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "94-09956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.