Active NPI
Michael Kaveh Shafe, MD
- Emergency Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 105600
- 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.
-
- Emergency Medicine Physician
- Osage Beach, MO
- NPI 1003181637
Emergency Medicine, MO
-
- Urgent Care Clinic/Center
- Merriam, KS
- NPI 1265863823
-
- Public Health or Welfare Agency
- Savannah, MO
- NPI 1114066578
-
- Urgent Care Clinic/Center
- Liberty, MO
- NPI 1588956650
-
- Ambulance
- Kansas City, KS
- NPI 1306871215
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
Practice addresses (Care Compare)
4776 Verona Dr
Saint Joseph, MO 64506-5030
Phone (816) 396-9500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Camden Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Emergent Care Plus, LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 105600 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.