Active NPI
Kristi Shaumeyer, MD
- Geriatric Medicine (Internal Medicine) Physician
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 2008005526
- Practice address
- 3066 SW Grandstand Cir
Lees Summit, MO 64081-3866 - Phone
- (913) 215-5008
- Fax
- (816) 880-2640
- NPI assigned
- May 3, 2007
- Last updated
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 2008005526 | MO | Primary |
Addresses
Primary practice location
3066 SW Grandstand Cir
Lees Summit, MO 64081-3866
Mailing address
PO Box 875743
Kansas City, MO 64187-5743
Phone (913) 215-5008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649277401 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services Mo LLC | Current | Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients | |
| CH Specialty Services KS LLC | Current | Accepting new patients | |
| Saint Luke's Physician Group Inc | Past | Accepting new patients | |
| Gates Hospitalists LLC | Past | Accepting new patients |
Locations
12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808
9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900
9100 Park St
Ste 280
Lenexa, KS 66215
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
604 E Sunrise Dr
Raymore, MO 64083
Phone (816) 322-6782
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Lee's Summit, MO
- NPI 1194422253
-
dba Elite Patient Care
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1306165337
KS
-
- Internal Medicine Physician
- Lenexa, KS
- NPI 1770282188
-
- Internal Medicine Physician
- North Kansas City, MO
- NPI 1699774893
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1245452895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 875743",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641875743",
"telephone_number": "913-215-5008",
"fax_number": "816-880-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3066 SW GRANDSTAND CIR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813866",
"telephone_number": "913-215-5008",
"fax_number": "816-880-2640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUMEYER",
"first_name": "KRISTI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MO",
"license": "2008005526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649277401",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.