Individual provider Active NPI

Joshua Shrader, MD

  • Emergency Medicine Physician
  • Emporia, KS
National Provider Identifier
1720720394
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-52879 Issued in KS
Practice address
1201 W 12TH Ave
Emporia, KS 66801-2504
Phone
(620) 343-6800
Fax
(620) 341-7755
NPI assigned
Apr 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-52879 KS Primary
Emergency Medicine Physician 207P00000X 344030 LA

Addresses

Primary practice location

1201 W 12TH Ave
Emporia, KS 66801-2504

Mailing address

1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

Other practice location 1

1501 Kings Hwy
Medical School Building C, Room 2-436b
Shreveport, LA 71103
Phone (318) 675-5053

Other practice location 2

1301 W 12th Ave Ste 110
Emporia, KS 66801-2587
Phone (620) 343-7828

Other identifiers 1

IdentifierTypeStateIssuer
30004828380002MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20241210002823 LA Practitioner - Emergency Medicine 4082097530 Reassigns benefits to 5 organizations
I20260203003859 AR Practitioner - Emergency Medicine 4082097530 Reassigns benefits to 3 organizations
I20260408002397 KS Practitioner - Emergency Medicine 4082097530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Emergency Group LLCGroup PAC ID 2961448170, 16 clinicians
Cotton Emergency Group LLCGroup PAC ID 5698017655, 6 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Oakdale Ess LLCGroup PAC ID 7517289713, 26 clinicians
Hodges Emergency Group LLCGroup PAC ID 2567703978, 19 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 377-2321

1175 Pine St
Suite 200
Arcadia, LA 71001-3122
Phone (318) 263-4700

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-0821

240 Highland Dr
Many, LA 71449-3718
Phone (318) 256-5691

Hospital & facility affiliations

  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336
  • Sabine Medical Center Hospital, Many, LA, CCN 190218
  • Desoto Regional Health System Hospital, Mansfield, LA, CCN 190118
  • Bienville Medical Center Hospital, Arcadia, LA, CCN 191320
  • NMC Health Hospital, Newton, KS, CCN 170103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344030LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Oakdale Ess LLC Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Hodges Emergency Group, LLC Emergency Medicine CurrentSince Mar 23, 2025 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Cotton Emergency Group, LLC Emergency Medicine CurrentSince Jan 5, 2026 Accepting new patients
Webster Emergency Group LLC Emergency Medicine CurrentSince Oct 17, 2025 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

1175 Pine St
Ste 200
Arcadia, LA 71001
Phone (318) 263-4700

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1720720394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Medical School Building C, Room 2-436b",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71103",
            "country_code": "US",
            "telephone_number": "318-675-5053",
            "fax_number": "318-675-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 W 12th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012587",
            "country_code": "US",
            "telephone_number": "620-343-7828",
            "fax_number": "620-341-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-52879",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "344030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004828380002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.