Individual provider Active NPI

Afsaneh Shirani, MD

  • Neurology Physician
  • Kansas City, MO
National Provider Identifier
1255777306
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2017013094 Issued in MO
Practice address
4400 Broadway Blvd Ste 520
Kansas City, MO 64111-3342
Phone
(816) 960-7600
NPI assigned
May 16, 2013
Reactivated
Apr 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2017013094 MO Primary
Neurology Physician 2084N0400X 31402 NE

Addresses

Primary practice location

4400 Broadway Blvd Ste 520
Kansas City, MO 64111-3342

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 960-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190510000127 NE Practitioner - Neurology 3678816808 Reassigns benefits to 1 organization
I20250124002453 KS Practitioner - Neurology 3678816808 Reassigns benefits to 1 organization
I20250124002604 MO Practitioner - Neurology 3678816808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 E 104TH St
Kansas City, MO 64131-4517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017013094MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jul 1, 2019 Accepting new patients
Saint Luke'S Physician Group Inc Neurology CurrentSince Jan 27, 2025 Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

4400 Broadway Blvd
Ste 520
Kansas City, MO 64111
Phone (816) 531-4080

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

4242 Farnam St
Ste 650
Omaha, NE 68131
Phone (402) 502-8787

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: ashirani667743@direct.saint-lukes.org

Organizations & group practices 2

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 5

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1255777306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-960-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD STE 520",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-960-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRANI",
        "first_name": "AFSANEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "deactivation_date": "2014-03-31",
        "reactivation_date": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2017013094",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "31402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.