Individual provider Active NPI

Shawn Rau, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1871049247
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7550 W Village Cir
Ste. 1
Wichita, KS 67205-9363
Phone
(316) 838-2020
Fax
(316) 838-7574
NPI assigned
Aug 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7550 W Village Cir
Ste. 1
Wichita, KS 67205-9363

Mailing address

7550 W Village Cir
Ste. 1
Wichita, KS 67205-9363
Phone (316) 838-2020

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005000103 KS Practitioner - Physician Assistant 2961790043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Orthopaedic Center, PAGroup PAC ID 3577553668, 24 clinicians

Practice addresses (Care Compare)

7550 W Village Cir
Wichita, KS 67205-9364
Phone (316) 838-2020

7550 W Village Circle
Wichita, KS 67205-9364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Orthopaedic Center, P.a. CurrentSince Sep 3, 2016 Accepting new patients

Locations

101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700

7550 W Village Cir
Ste 1
Wichita, KS 67205
Phone (316) 838-2020

7550 W Village Cir
Wichita, KS 67205
Phone (316) 838-2020

Organizations & group practices 2

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 1

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": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1871049247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR",
            "address_2": "STE. 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059363",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR",
            "address_2": "STE. 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059363",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "SHAWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.