Individual provider Active NPI

Parul P. Shah, PA-C

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1457558363
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501751 Issued in KS
Practice address
7127 W 95TH St
Overland Park, KS 66212-2245
Phone
(913) 489-9070
Fax
(913) 489-9080
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2016009737 MO
Physician Assistant 363A00000X MA052791 PA
Physician Assistant 363A00000X 1501751 KS Primary

Addresses

Primary practice location

7127 W 95TH St
Overland Park, KS 66212-2245

Mailing address

16049 Fontana St Unit 505
Stilwell, KS 66085-8485
Phone (570) 431-0772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150311001042 KS Practitioner - Physician Assistant 0143321927 Reassigns benefits to 3 organizations
I20190709000610 MO Practitioner - Physician Assistant 0143321927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1501751KSMDPhysician Assistant
2016009737MOMDPhysician Assistant
MA052791PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Jan 26, 2015 Accepting new patients
Labette County Medical Center CurrentSince Jan 26, 2015 Accepting new patients
Craig I. Schwartz, D.O., P.a. PastSince Apr 14, 2024 Accepting new patients

Locations

324 S Main St
Erie, KS 66733
Phone (620) 244-3291

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1457558363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16049 FONTANA ST UNIT 505",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660858485",
            "telephone_number": "570-431-0772",
            "fax_number": "913-489-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122245",
            "telephone_number": "913-489-9070",
            "fax_number": "913-489-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARUL",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2016009737",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052791",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.