Active NPI
Shane Randall Christensen, M.D.
- Emergency Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R7A51
- Practice address
- 7900 Lees Summit Road
Kansas City, MO 66139 - Phone
- (816) 404-7500
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R7A51 | MO | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | R7A51 | MO |
Addresses
Primary practice location
7900 Lees Summit Road
Kansas City, MO 66139
Mailing address
4822 Ridgeway Court
Kansas City, MO 64133-2451
Phone (816) 353-7669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201367224 | Medicaid | MO |
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
- Emergency Medicine
- Education
- University of Missouri, Kansas City, School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000
Hospital & facility affiliations
- University Health Lakewood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.53 of 100
- Quality
- 59.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Emergency Medicine | Current | Accepting new patients |
| United Imaging Consultants, LLC | Past | Accepting new patients | |
| The Covenant Group PA | Emergency Medicine | Past | Accepting new patients |
Locations
4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
2301 Holmes St
Kansas City, MO 64108
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Emergency Medicine
-
- Emergency Medicine Physician
- Kansas City, KS
- NPI 1306814389
-
- Diagnostic Radiology Physician
- Lenexa, KS
- NPI 1588669766
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1376686600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1487749859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 RIDGEWAY COURT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641332451",
"telephone_number": "816-353-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 LEES SUMMIT ROAD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "66139",
"telephone_number": "816-404-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "SHANE",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R7A51",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MO",
"license": "R7A51",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201367224",
"state": "MO"
}
],
"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 Jul 9, 2020; 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.