Active NPI
Ameer Z Shams, MD
- Family Medicine Physician
- Waynesville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2010026627
- Practice address
- 1000 GW LN
Waynesville, MO 65583-2339 - Phone
- (573) 774-2715
- Fax
- (573) 202-2410
- NPI assigned
- Aug 1, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-44015 | KS | |
| Family Medicine Physician | 207Q00000X | 2010026627 | MO | Primary |
Addresses
Primary practice location
1000 GW LN
Waynesville, MO 65583-2339
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 1
4407 SE Gemstone Ln
Topeka, KS 66609-9308
Phone (412) 609-1098
Other practice location 2
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200684810A | Medicaid | KS | |
| 1639369960 | Medicaid | MO | |
| 1020308340003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1050 W 10TH St
Rolla, MO 65401-2905
Hospital & facility affiliations
- Phelps County Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010026627 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Pcrmc Medical Group, Inc | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Past | Accepting new patients | |
| Hoag Medical Group Inc. | Family Medicine | Past | Accepting new patients |
Locations
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715
Interoperability endpoints
- ashams149616@stormontvaildirect.org
Organizations & group practices 5
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.
-
- Clinic/Center
- Rolla, MO
- NPI 1124237227
-
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1366066037
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Rural Health Clinic/Center
- Waynesville, MO
- NPI 1447430574
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1558611632
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1639369960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-364-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GW LN",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655832339",
"telephone_number": "573-774-2715",
"fax_number": "573-202-2410"
}
],
"practiceLocations": [
{
"address_1": "4407 SE Gemstone Ln",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666099308",
"country_code": "US",
"telephone_number": "412-609-1098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-458-8899",
"fax_number": "573-341-5611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAMS",
"first_name": "AMEER",
"middle_name": "Z",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-44015",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2010026627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200684810A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639369960",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020308340003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.