Individual provider Active NPI

Michael Kaveh Shafe, MD

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1356558142
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
105600 Issued in MO
Practice address
10015 NW Ambassador Dr
Kansas City, MO 64153-1364
Phone
(816) 260-7521
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Columbia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Express LLC 11 clinicians

Practice addresses (Care Compare)

4776 Verona Dr
Saint Joseph, MO 64506-5030
Phone (816) 396-9500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070911000392 MO Practitioner - Emergency Medicine 3577555937 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Mar 29, 2018 Accepting new patients
Camden Emergency Group LLC Emergency Medicine CurrentSince May 13, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 29, 2018 Accepting new patients
Emergent Care Plus, LLC CurrentSince Jan 20, 2015 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Medevac Midamerica Inc Past Accepting new patients
The Urgency Room, LLC Past Accepting new patients
Andrew County Health Department Past Accepting new patients
The Urgency Room LLC Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

10015 N Ambassador Dr
Ste 100
Kansas City, MO 64153
Phone (816) 595-4000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2741 NE McBaine Dr
Lees Summit, MO 64064
Phone (816) 554-2600

1860 N Church Rd
Liberty, MO 64068
Phone (816) 368-8226

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 105600 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

10015 NW Ambassador Dr
Kansas City, MO 64153-1364

Mailing address

10015 NW Ambassador Dr
Kansas City, MO 64153-1364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2022.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1356558142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 NW AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 NW AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531364",
            "telephone_number": "816-260-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFE",
        "first_name": "MICHAEL",
        "middle_name": "KAVEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "105600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.