Individual provider Active NPI

Kristi Shaumeyer, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Lee's Summit, MO
National Provider Identifier
1245452895
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2008005526 Issued in MO
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1649277401MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080514000497 MO Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4183793318 Reassigns benefits to 2 organizations
I20160822002203 KS Practitioner - Internal Medicine 4183793318 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince May 15, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Sep 12, 2016 Accepting new patients
CH Specialty Services KS LLC CurrentSince May 8, 2023 Accepting new patients
Saint Luke's Physician Group Inc Past Accepting new patients
Gates Hospitalists LLC PastSince Sep 21, 2011 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.