Chad W Sharky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2011040566 Issued in MO

Practice address

801 NW Saint Mary Dr Ste 210
Blue Springs, MO 64014-2539

Phone

(816) 200-1533

Fax

(816) 900-0083

NPI assigned

Apr 9, 2010

Last updated

Apr 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 13, 2020 through May 13, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: chad.sharky.1@17732.direct.athenahealth.com

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1134445612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW SAINT MARY DR STE 210",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142539",
            "telephone_number": "816-200-1533",
            "fax_number": "816-900-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NW SAINT MARY DR STE 210",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142539",
            "telephone_number": "816-200-1533",
            "fax_number": "816-900-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKY",
        "first_name": "CHAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011040566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serc Rehabilitation Partners LLC
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• Kamin Shafer, FNP-BC
• Shangri la Hco, LLC (Shangri la Rehab and Living Center)
• Shangri la Hco, LLC
• Stacey Leigh Sharpe, MD
• Jacqueline L. Shearer, NP
• Mary Shearer, ARNP
• Andrew John Sheehy, DDS
• Sheldon Fleishman DPM, PA

• Family Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.