Individual provider Active NPI

Darcy Donovan Shaw, M.D.

  • Colon & Rectal Surgery Physician
  • Lansing, MI
National Provider Identifier
1942438643
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
20160000804 Issued in MO
Practice address
1200 E Michigan Ave Ste 655
Lansing, MI 48912-1837
Phone
(517) 267-2487
Fax
(517) 267-2488
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20160000804 MO
Surgery Physician 208600000X 4301095056 MI
Colon & Rectal Surgery Physician 208C00000X 20160000804 MO Primary

Addresses

Primary practice location

1200 E Michigan Ave Ste 655
Lansing, MI 48912-1837

Mailing address

3460 NE Ralph Powell Rd
Lees Summit, MO 64064-2361
Phone (816) 246-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DARCY.SHAW@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160825001527 MO Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5496970097 Reassigns benefits to 2 organizations
I20181004001760 KS Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5496970097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of Minnesota Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menorah Medical Group LLCGroup PAC ID 1355535162, 21 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (913) 491-3724

1950 SE Blue Pkwy
Lee'S Summit, MO 64063-1007
Phone (816) 272-2370

19550 E 39TH St S
Suite 110
Independence, MO 64057-2353
Phone (816) 941-0800

19600 E 39TH St
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-7000

2100 SE Blue Pkwy
Lees Summit Medical Center
Lees Summit, MO 64063-1007
Phone (816) 282-5000

2800 Clay Edwards Dr
North Kansas City Hospital
Kansas City, MO 64116-3220
Phone (816) 961-2000

4370 W 109TH St
Suite 350
Overland Park, KS 66211-1370
Phone (816) 941-0800

Hospital & facility affiliations

  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Merit-based Incentive Payment System (MIPS)

Final score
82.28 of 100Reported as group
Quality
78.53
Promoting interoperability
99
Improvement activities
40
Cost
63.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301095056MIMDSurgery Physician
20160000804MOMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menorah Medical Group, LLC CurrentSince Oct 1, 2018 Accepting new patients
Colorectal Surgery Associates PC Colon & Rectal Surgery CurrentSince Oct 1, 2018 Accepting new patients
Advanced Surgical Associates Surgery CurrentSince Aug 1, 2016 Accepting new patients
Menorah Medical Group, LLC Past Accepting new patients

Locations

4370 W 109th St
Ste 350
Overland Park, KS 66211

5701 W 119th St
Ste 410
Overland Park, KS 66209
Phone (913) 345-3650

10100 W 87th St
Ste 200
Overland Park, KS 66212
Phone (816) 947-0800

19550 E 39th St S
Ste 110
Independence, MO 64057
Phone (816) 698-8900

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2861 NE Independence Ave
Lees Summit, MO 64064
Phone (816) 246-0800

3460 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 246-0800

1980 SE Blue Pkwy
Ste 2330
Lees Summit, MO 64063
Phone (816) 607-2940

2861 NE Independence Ave
Ste 205
Lees Summit, MO 64064
Phone (816) 246-0800

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: darcy.shaw@hca2.eclinicaldirectplus.com

Organizations & group practices 4

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 7

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1942438643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642361",
            "telephone_number": "816-246-0800",
            "fax_number": "816-246-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 655",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121837",
            "telephone_number": "517-267-2487",
            "fax_number": "517-267-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DARCY",
        "middle_name": "DONOVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "20160000804",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301095056",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "20160000804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DARCY.SHAW@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1200 E Michigan Ave Ste 655",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489121837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.