NPIMap

Individual provider Active NPI

Shanon L Custer, MD

  • Internal Medicine Physician
  • Hays, KS
National Provider Identifier
1902870637
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-30345 Issued in KS
Practice address
2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375
Phone
(785) 623-2312
Fax
(785) 623-2323
NPI assigned
Feb 17, 2006
Last updated
Dec 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-30345 KS Primary

Addresses

Primary practice location

2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375

Mailing address

2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375
Phone (785) 623-2312

Other identifiers 1

IdentifierTypeStateIssuer
200335110AMedicaidKS

Other names 1

  • Shanon L Schoenthaler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040910001092 KS Practitioner - Internal Medicine 5890762702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2214 Canterbury Dr
Hays, KS 67601-2375

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 650-2700

2509 Canterbury Dr
Hays, KS 67601-2233
Phone (785) 623-5095

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30345KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Sep 1, 2005 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. CurrentSince Sep 1, 2005 Accepting new patients
Summit Medical Center Past Accepting new patients
Hays Medical Center, Inc. Internal Medicine Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2214 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 261-7672

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Interoperability endpoints

  • Direct secure messaging: shanon.custer@haysmeddirect.com

Organizations & group practices 6

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 12

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1902870637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR",
            "address_2": "SUITE 202",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-623-2312",
            "fax_number": "785-623-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR",
            "address_2": "SUITE 202",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-623-2312",
            "fax_number": "785-623-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "SHANON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-30345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANON",
            "last_name": "SCHOENTHALER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.