NPIMap

Individual provider Active NPI

Timothy S Shaver, MD

  • Rheumatology Physician
  • Wichita, KS
National Provider Identifier
1336145804
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0424526 Issued in KS
Practice address
1921 N Webb Rd
Wichita, KS 67206-3405
Phone
(316) 612-4815
Fax
(316) 612-4825
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0424526 KS Primary

Addresses

Primary practice location

1921 N Webb Rd
Wichita, KS 67206-3405

Mailing address

1921 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 612-4815

Other identifiers 2

IdentifierTypeStateIssuer
060097OtherMEDICARE
100158340CMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.shaver@direct.arck.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000689 KS Practitioner - RheumatologyPractitioner - Internal Medicine 8628004454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Rheumatology Clinics of Kansas LLCGroup PAC ID 6800881194, 11 clinicians

Practice addresses (Care Compare)

1921 N Webb Rd
Wichita, KS 67206-3405
Phone 31661248151280

Hospital & facility affiliations

  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012
  • Southwest Medical Center Hospital, Liberal, KS, CCN 170068
  • Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
  • Mitchell County Hospital Health Systems Hospital, Beloit, KS, CCN 171375

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Quality
97.45
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0424526KSMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rheumatology Clinics of Kansas LLC Rheumatology CurrentSince Jan 1, 2001 Accepting new patients
Arthritis and Rheumatology Clinics of Kansas LLC CurrentSince Jan 1, 2001 Accepting new patients
The Good Samaritan-a Family Health Care Facility, Inc Past Accepting new patients

Locations

1921 N Webb Rd
Wichita, KS 67206
Phone (316) 612-4815

13205 W 21st Ct N
Wichita, KS 67235
Phone (316) 612-4815

Interoperability endpoints

  • Direct secure messaging: timothy.shaver@direct.arck.nextgenshare.com

Organizations & group practices 3

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1336145804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-612-4815",
            "fax_number": "316-681-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-612-4815",
            "fax_number": "316-612-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "0424526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "060097",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100158340C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.shaver@direct.arck.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR messaging",
            "address_1": "1921 N Webb Rd",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.