NPIMap

Individual provider Active NPI

Shahzad Shafique, M.D.

  • Nephrology Physician
  • Cameron, MO
National Provider Identifier
1902097439
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2009009275 Issued in MO
Practice address
1600 E Evergreen St.
Cameron Regional Medical Center
Cameron, MO 64429
Phone
(913) 626-0568
Fax
(816) 649-3383
NPI assigned
Aug 8, 2007
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 04-32498 KS
Nephrology Physician 207RN0300X 2009009275 MO Primary

Addresses

Primary practice location

1600 E Evergreen St.
Cameron Regional Medical Center
Cameron, MO 64429

Mailing address

PO Box 557
1600 E Evergreen
Cameron, MO 64429-0557
Phone (913) 626-0568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000334 MO Practitioner - Internal MedicinePractitioner - Nephrology 6901950963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400

1608 E Evergreen St
Cameron, MO 64429-2400

221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100

903 N 25TH St
Bethany HLTH Srvcs
Bethany, MO 64424-1501
Phone (660) 425-7333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.35
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as group
Quality
83.61
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-32498KSMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center Inc CurrentSince Jun 29, 2009 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Jun 29, 2009 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

903 N 25th St
Bethany, MO 64424
Phone (660) 425-7333

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1600 E Evergreen St
Ste B
Cameron, MO 64429
Phone (816) 649-3398

1608 E Evergreen St
Ste A
Cameron, MO 64429
Phone (816) 632-3945

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1902097439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "address_2": "1600 E EVERGREEN",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644290557",
            "telephone_number": "913-626-0568",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST.",
            "address_2": "CAMERON REGIONAL MEDICAL CENTER",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "64429",
            "telephone_number": "913-626-0568",
            "fax_number": "816-649-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIQUE",
        "first_name": "SHAHZAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-32498",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2009009275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.