Individual provider Active NPI

Shyam M Shridharani, MD

  • Orthopaedic Surgery of the Spine Physician
  • Olathe, KS
National Provider Identifier
1730168626
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
04-43974 Issued in KS
Practice address
20375 W 151St St Ste 105
Olathe, KS 66061-5353
Phone
(913) 355-8100
Fax
(913) 303-5510
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 46861 MN
Orthopaedic Surgery of the Spine Physician 207XS0117X 04-43974 KS Primary
Orthopaedic Surgery Physician 207X00000X 46861 MN

Addresses

Primary practice location

20375 W 151St St Ste 105
Olathe, KS 66061-5353

Mailing address

20375 W 151St St Ste 105
Olathe, KS 66061-5353
Phone (913) 355-8100

Other identifiers 1

IdentifierTypeStateIssuer
201331390AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20210430000717 KS Practitioner - Orthopedic Surgery 0143293332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

20375 W 151St St
Olathe, KS 66061-7210
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
Quality
16.27
Promoting interoperability
0
Improvement activities
0
Cost
66.19

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion171
Laminectomy or laminotomy (partial removal of spine bones)129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46861MNMDOrthopaedic Surgery Physician
04-43974KSMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Kansas University Physicians Inc Family Medicine Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 1, 2024 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

20375 W 151st St
Ste 105
Olathe, KS 66061
Phone (913) 355-8100

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

Interoperability endpoints

  • Direct secure messaging: sshridharani755758@direct.kuha.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.

Hospital & facility affiliations 7

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1730168626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST STE 105",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615353",
            "telephone_number": "913-355-8100",
            "fax_number": "913-303-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST STE 105",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615353",
            "telephone_number": "913-355-8100",
            "fax_number": "913-303-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIDHARANI",
        "first_name": "SHYAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MN",
            "license": "46861",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KS",
            "license": "04-43974",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "46861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201331390A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.