Active NPI
Shawn Zeltwanger, MD, PHD
- Pain Medicine (Anesthesiology) Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 2008003498
- Practice address
- 802 N Riverside Rd Ste 100
Saint Joseph, MO 64507-2507 - Phone
- (816) 271-6518
- Fax
- (816) 271-6539
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2004014124 | MO | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2008003498 | MO | Primary |
Addresses
Primary practice location
802 N Riverside Rd Ste 100
Saint Joseph, MO 64507-2507
Mailing address
802 N Riverside Rd Ste 100
Saint Joseph, MO 64507-2507
Phone (816) 271-6518
Other practice location 1
2108 Dogtown Walk
Saint Louis, MO 63139-3567
Phone (314) 255-4610
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Medical College of Georgia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
802 N Riverside Rd
140 Mosaic Life Care
St Joseph, MO 64057-2508
Phone (816) 271-7979
Hospital & facility affiliations
- Mosaic Life Care at St Joseph
- Mosaic Medical Center Albany
- Hiawatha Community Hospital
- Amberwell Atchison Association
- Mosaic Medical Center - Maryville
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 81.83
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004014124 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Anesthesiology | Current | Accepting new patients |
| Heartland Regional Medical Center | Pain Medicine | Current | Accepting new patients |
Locations
8860 NE 82nd Ter
Kansas City, MO 64158
Phone (816) 437-8101
802 N Riverside Rd
Ste 100A
Saint Joseph, MO 64507
Phone (816) 271-6518
802 N Riverside Rd
Ste 140
Saint Joseph, MO 64507
Phone (816) 271-7979
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213
5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
802 N Riverside Rd
Ste 100
Saint Joseph, MO 64507
Phone (816) 271-6518
Interoperability endpoints
- mark.zeltwanger@direct.mymlc.com
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.
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Pain Medicine
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1538200357
Anesthesiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Critical Access Hospital
- Maryville, MO
- NPI 1265906663
-
dba Mosaic Medical Center Albany
- Critical Access Hospital
- Albany, MO
- NPI 1306893268
-
dba Amberwell Atchison
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
dba Amberwell Hiawatha
- Critical Access Hospital
- Hiawatha, KS
- NPI 1255421210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1427266899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 N RIVERSIDE RD STE 100",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645072507",
"telephone_number": "816-271-6518",
"fax_number": "816-271-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 N RIVERSIDE RD STE 100",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645072507",
"telephone_number": "816-271-6518",
"fax_number": "816-271-6539"
}
],
"practiceLocations": [
{
"address_1": "2108 Dogtown Walk",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631393567",
"country_code": "US",
"telephone_number": "314-255-4610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZELTWANGER",
"first_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2004014124",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "2008003498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.