NPIMap

Individual provider Active NPI

Shane T. Fejfar, M.D.

  • Orthopaedic Surgery Physician
  • Manhattan, KS
National Provider Identifier
1669437695
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27846 Issued in KS
Practice address
1600 Charles PL
Manhattan, KS 66502-2750
Phone
(785) 537-4200
Fax
(785) 537-4354
NPI assigned
Apr 20, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 27846 KS Primary

Addresses

Primary practice location

1600 Charles PL
Manhattan, KS 66502-2750

Mailing address

1600 Charles PL
Manhattan, KS 66502-2750
Phone (785) 537-4200

Other identifiers 2

IdentifierTypeStateIssuer
P00345690OtherKSRAILROAD MEDICARE
105588OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510001131 KS Practitioner - Orthopedic Surgery 8921048836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Sanford School of Medicine of University of South Dakota, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susan B Allen Memorial HospitalGroup PAC ID 7719898980, 26 clinicians

Practice addresses (Care Compare)

700 W Central Ave
105 Sba Medical Ortho
El Dorado, KS 67042-2187
Phone (316) 321-8757

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4763SDMDProfessional Counselor
27846KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan B. Allen Memorial Hospital CurrentSince Jan 28, 2022 Accepting new patients
Susan B. Allen Memorial Hospital Current Accepting new patients
Susan B. Allen Memorial Hospital Orthopaedic Surgery CurrentSince Jan 28, 2022 Accepting new patients
Hillsboro Hospital LLC CurrentSince Jan 1, 2026 Accepting new patients
Hillsboro Hospital LLC CurrentSince Jan 1, 2026 Accepting new patients
Cah Acquisition Company 5 LLC Past Accepting new patients

Locations

700 W Central Ave
Ste 105
El Dorado, KS 67042
Phone (316) 321-9813

720 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3000

101 Industrial Rd
Hillsboro, KS 67063
Phone (620) 877-4165

Interoperability endpoints

  • Direct secure messaging: shane.fejfar@directsbamh.org

Organizations & group practices 6

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 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1669437695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-537-4200",
            "fax_number": "785-537-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-537-4200",
            "fax_number": "785-537-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEJFAR",
        "first_name": "SHANE",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "27846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00345690",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "105588",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.