Individual provider Active NPI

Muhammad Usman Shaukat, M.D

  • Pediatric Gastroenterology Physician
  • Joplin, MO
National Provider Identifier
1861750218
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
2021039686 Issued in MO
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX3 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
I20200922000725 OK Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3274767223 Reassigns benefits to 2 organizations
I20211112001041 MO Practitioner - Pediatric Medicine 3274767223 Reassigns benefits to 1 organization
I20260520000984 TX Practitioner - Pediatric Medicine 3274767223 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
036.134486ILMDPediatrics Physician
2021039686MOMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jun 18, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
North Texas Pediatric Gastroenterology PLLC Pediatric Gastroenterology CurrentSince Apr 4, 2026 Accepting new patients
Freeman-Oak Hill Health System Pediatrics CurrentSince Oct 6, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jun 18, 2020 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.

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

Verify at the official NPI Registry.