Individual provider Active NPI

Shakila Tanjim, MD

  • Psychiatry Physician
  • Topeka, KS
National Provider Identifier
1619198686
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-32654 Issued in KS
Practice address
2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438
Phone
(785) 270-4630
Fax
(785) 270-4628
NPI assigned
May 1, 2007
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-32654 KS Primary

Addresses

Primary practice location

2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438

Mailing address

2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438
Phone (785) 270-4630

Other practice location 1

3707 SW 6th Ave
Topeka, KS 66606-2084
Phone (785) 270-4600

Other practice location 2

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other identifiers 2

IdentifierTypeStateIssuer
110661005OtherKSMEDICARE PTAN
200593590BMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address stanjim6208@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address stanjim6208@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071012000411 KS Practitioner - Psychiatry 5092801639 Reassigns benefits to 1 organization
I20100805000374 MO Practitioner - Psychiatry 5092801639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

3707 SW 6TH Ave
Topeka, KS 66606-2084
Phone (785) 270-4600

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008010189MOMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
04-32654KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri Psychiatry CurrentSince Apr 7, 2010 Accepting new patients
State of Missouri Psychiatry CurrentSince Apr 7, 2010 Accepting new patients
Heartland Regional Medical Center CurrentSince May 21, 2016 Accepting new patients
State of Missouri Psychiatry Current Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 13, 2009 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 13, 2009 Accepting new patients
Heartland Regional Medical Center CurrentSince May 21, 2016 Accepting new patients
Stormont-Vail Healthcare Inc Past Accepting new patients
Mosaic Medical Center - Maryville Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

2601 SW 3rd St
Unit 1A
Topeka, KS 66606
Phone (785) 270-4630

3707 SW 6th Ave
Topeka, KS 66606
Phone (785) 270-4630

901 SW Garfield Ave
Topeka, KS 66606

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

105 Far West Dr
Ste 202
Saint Joseph, MO 64506
Phone (816) 271-8133

3505 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 387-2300

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

Interoperability endpoints

  • Direct secure messaging: stanjim6208@stormontvaildirect.org

Organizations & group practices 11

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 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1619198686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 3RD ST UNIT 1A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062438",
            "telephone_number": "785-270-4630",
            "fax_number": "785-270-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 3RD ST UNIT 1A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062438",
            "telephone_number": "785-270-4630",
            "fax_number": "785-270-4628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062084",
            "country_code": "US",
            "telephone_number": "785-270-4600",
            "fax_number": "785-270-4628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANJIM",
        "first_name": "SHAKILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-32654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "110661005",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593590B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stanjim6208@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3707 SW 6th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666062084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stanjim6208@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3707 SW 6th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666062084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.