Active NPI
Muhammad Usman Shaukat, M.D
- Pediatric Gastroenterology Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 2021039686
- Practice address
- 1030 McIntosh Cir Ste 1
Joplin, MO 64804-3690 - Phone
- (417) 347-8750
- Fax
- (417) 347-8788
- NPI assigned
- Apr 23, 2012
- Last updated
- Oct 12, 2021
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.134486 | IL | |
| Pediatric Gastroenterology Physician | 2080P0206X | 2021039686 | MO | Primary |
Addresses
Primary practice location
1030 McIntosh Cir Ste 1
Joplin, MO 64804-3690
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-8750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
412 Village Dr
Suite 400
Murphy, TX 75094-4631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134486 | IL | MD | Pediatrics Physician |
| 2021039686 | MO | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| North Texas Pediatric Gastroenterology PLLC | Pediatric Gastroenterology | Current | Accepting new patients |
| Freeman-Oak Hill Health System | Pediatrics | Current | Accepting new patients |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1030 McIntosh Cir
Ste 1
Joplin, MO 64804
Phone (417) 347-8750
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
1200 Childrens Ave
Ste 9E
Oklahoma City, OK 73104
Phone 405271800131231
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
412 Village Dr
Ste 400
Murphy, TX 75094
Phone (347) 824-9429
Organizations & group practices 8
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.
-
- Pediatric Gastroenterology Physician
- Murphy, TX
- NPI 1598617375
-
dba Freeman Physician Group
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
Pediatrics
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
dba Freeman Health System
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1861750218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810",
"telephone_number": "417-347-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 MCINTOSH CIR STE 1",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043690",
"telephone_number": "417-347-8750",
"fax_number": "417-347-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUKAT",
"first_name": "MUHAMMAD",
"middle_name": "USMAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.134486",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MO",
"license": "2021039686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.