Individual provider Active NPI

David A Shanberg, MD

  • Surgery Physician
  • Kansas City, MO
National Provider Identifier
1245626282
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2021014858 Issued in MO
Practice address
2750 Clay Edwards Dr
Kansas City, MO 64116-3237
Phone
(816) 842-5555
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2021014858 MO
Surgery Physician 208600000X 2021014858 MO Primary

Addresses

Primary practice location

2750 Clay Edwards Dr
Kansas City, MO 64116-3237

Mailing address

12601 Charlotte St
Kansas City, MO 64146-1300
Phone (913) 406-9810

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106003024 MO Practitioner - General Surgery 6608177514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048
  • University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021014858MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians Surgery CurrentSince Dec 1, 2023 Accepting new patients
Advanced Orthopedics and Sports Medicine CurrentSince Jan 1, 2024 Accepting new patients
Advanced Orthopedics and Sports Medicine CurrentSince Jan 1, 2024 Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients

Locations

2301 Holmes St
Fl 3
Kansas City, MO 64108

2301 Holmes St
Kansas City, MO 64108

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118

Organizations & group practices 4

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 2

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1245626282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641461300",
            "telephone_number": "913-406-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-842-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANBERG",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2021014858",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2021014858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.