NPIMap

Individual provider Active NPI

Zachary Kyle Shafer, MD

  • Diagnostic Radiology Physician
  • Kansas City, MO
National Provider Identifier
1497918270
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2014000217 Issued in MO
Practice address
2800 Clay Edwards Dr
Kansas City, MO 64116-3220
Phone
(913) 642-4900
Fax
(913) 381-0979
NPI assigned
Jul 2, 2008
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2013-00659 NC
Diagnostic Radiology Physician 2085R0202X 2014000217 MO Primary
Diagnostic Radiology Physician 2085R0202X 0437072 KS

Addresses

Primary practice location

2800 Clay Edwards Dr
Kansas City, MO 64116-3220

Mailing address

PO Box 419380
Kansas City, MO 64141-6380
Phone (913) 642-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140512000065 MO Practitioner - Diagnostic Radiology 5193981959 Reassigns benefits to 1 organization
I20250616003669 KS Practitioner - Diagnostic Radiology 5193981959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Radiology IncGroup PAC ID 4284689043, 15 clinicians

Practice addresses (Care Compare)

14540 Dearborn St
Overland Park, KS 66223-2649
Phone (913) 642-4900

2800 Clay Edwards Dr
N Kansas City, MO 64116-3220
Phone (913) 642-4900

5501 NW 62ND Ter
Suite 200
Kansas City, MO 64151-2408
Phone (816) 691-8000

9501 N Oak Trfy
Suite 100
Kansas City, MO 64155-2201
Phone (816) 455-0661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0437072KSMDDiagnostic Radiology Physician
2014000217MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Radiology, Inc. Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
North Kansas City Hospital Past Accepting new patients

Locations

5501 NW 62nd Ter
Ste 200
Kansas City, MO 64151
Phone (816) 691-1333

9501 N Oak Trfy
Kansas City, MO 64155
Phone (816) 255-6336

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MtxVU3dbzZwHcvfCb2vTAE2_Nwhai9Oq/

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 7

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1497918270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419380",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641416380",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLAY EDWARDS DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163220",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "ZACHARY",
        "middle_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2013-00659",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2014000217",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0437072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.