Kenneth W Shewell, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

112862 Issued in MO

Practice address

2600 Miller St
Bethany, MO 64424-2701

Phone

(660) 425-0253

NPI assigned

Mar 11, 2006

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.69 of 100Reported as group

Quality

88.35

Promoting interoperability

97

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.53 of 100Reported as group

Quality

83.61

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• Harrison County Community Hospital District

  dba Harrison County Community Hospital

  • Critical Access Hospital
  • Bethany, MO
  • NPI 1528062569
  Medicare reassignment NPD
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127

  Surgery

  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Medicare reassignment NPD
• St Joseph Specialty Clinic PC

  • Surgery Physician
  • Bethany, MO
  • NPI 1962424895
  Authorized official Same address or phone
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD
• Saint Luke's Hospital of Trenton

  dba Saint Luke's Mercer County Clinic

  • Rural Health Clinic/Center
  • Princeton, MO
  • NPI 1962877514
  NPD
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Chillicothe, MO
  • NPI 1881638203
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1700854023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8657",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645088657",
            "telephone_number": "816-866-5105",
            "fax_number": "816-207-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242701",
            "telephone_number": "660-425-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWELL",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "112862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020037751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208865105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natu B Patel, M.D
• Alisha Michelle Purdun
• Rev Noel T Adams Mem Ambulance District
• Daniel Raymond Richert, AU.D.
• Rolling Hills Creative Living, Inc
• Emily Kaylene Shuck
• Patricia Slaughter, LMSW
• Solutions for Families, Inc.
• St Joseph Specialty Clinic PC
• Scott Dale Staatz, O.D.

• Surgery Physician in Bethany, MO
• Providers in Bethany, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.

Verify at the official NPI Registry.