Douglas William Shevlin, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0436540 Issued in KS

Practice address

9705 Lenexa Dr
Lenexa, KS 66215-1345

Phone

(913) 348-2565

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO, KS, LA3 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

Specialty

Pathology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mawd Pathology Group IncGroup PAC ID 2668421389, 38 clinicians

Mawd Pathologists LLCGroup PAC ID 5193102028, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
• Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
• LMH Hospital, Lawrence, KS, CCN 170137
• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

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.

• Mawd Pathology Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1033108519

  MO

  Medicare reassignment Care Compare group NPD
• Mawd Pathologists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1376209130

  MO

  Medicare reassignment Care Compare group
• The Delta Pathology Group LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1548258973
  Medicare reassignment NPD
• Associated Pathologists LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, IL
  • NPI 1174564587
  NPD
• Creekwood Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Kansas City, MO
  • NPI 1154474583
  NPD
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  dba HSHS St. John's Hospital

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1205818481
  NPD
• The Delta Pathology Group LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1871627067
  NPD
• Pathology Associates of Central Illinois LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, IL
  • NPI 1548363138
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Ransom Memorial, Inc.

  dba Adventhealth Ottawa

  • General Acute Care Hospital
  • Ottawa, KS
  • NPI 1972063758
  Care Compare affiliation
• Adventhealth South Overland Park, Inc.

  dba AdventHealth South Overland Park

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253
  Care Compare affiliation
• Lawrence Memorial Hospital

  • General Acute Care Hospital
  • Lawrence, KS
  • NPI 1508883422
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Saint Luke's Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Crittenton Children's Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke's Hospital of Kansas City

  dba Saint Luke's Hospital Infusion Center at Liberty

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1932114741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 COLLEGE BLVD STE 130",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152317",
            "telephone_number": "913-348-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-348-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 4th St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713018421",
            "country_code": "US",
            "telephone_number": "318-621-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEVLIN",
        "first_name": "DOUGLAS",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2013018617",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036093225",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "0436540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0360932252",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS MEDICAID",
            "identifier": "201073120A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE",
            "identifier": "2013018617",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSE",
            "identifier": "PENDING",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Sheehy
• Briea Shelby
• Collin Shelton
• Kayla Denise Shepherd, TLMFT
• Mary B. Sheridan, LSCSW
• Molly Beth Shipman, LSCSW
• Janna Claire Shold
• Tara Shrum
• Laura R Shuler-McKinney, M.D.
• Denise Shull, R.PH.

• Anatomic Pathology & Clinical Pathology Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.

Verify at the official NPI Registry.