Individual provider Active NPI

James M Shaw, M.D.

  • Plastic Surgery Physician
  • Wichita, KS
National Provider Identifier
1457459364
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
23014 Issued in KS
Practice address
3595 N Webb Rd
Wichita, KS 67226-8168
Phone
(316) 440-9801
Fax
(316) 440-9701
NPI assigned
Sep 21, 2006
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 23014 KS Primary

Addresses

Primary practice location

3595 N Webb Rd
Wichita, KS 67226-8168

Mailing address

1861 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 440-9801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000312 KS Practitioner - Plastic and Reconstructive Surgery 0840221693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1923 N Greenwich Rd
Wichita, KS 67206-3104
Phone (316) 440-9801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23014KSMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw Plastic Surgery, LLC Plastic Surgery CurrentSince May 16, 2016 Accepting new patients
Kansas Plastic Surgery, LLC Plastic Surgery PastSince Dec 12, 2016 Accepting new patients

Locations

1923 N Greenwich Rd
Wichita, KS 67206
Phone (316) 305-9618

3595 N Webb Rd
Wichita, KS 67226
Phone (316) 440-9801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1457459364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-440-9801",
            "fax_number": "316-440-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268168",
            "telephone_number": "316-440-9801",
            "fax_number": "316-440-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "23014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.