NPIMap

Individual provider Active NPI

Shahbaz M Khan, M.D.

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1962591313
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2000145787 Issued in MO
Practice address
4240 Blue Ridge Blvd
Suite 301
Kansas City, MO 64133
Phone
(816) 291-4700
Fax
(816) 291-4600
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2000145787 MO Primary

Addresses

Primary practice location

4240 Blue Ridge Blvd
Suite 301
Kansas City, MO 64133

Mailing address

4240 Blue Ridge Blvd
Ste 301
Kansas City, MO 64133-1705
Phone (816) 291-4700

Other identifiers 2

IdentifierTypeStateIssuer
205715105MedicaidMO
200307930AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080228000325 MO Practitioner - Psychiatry 5193809218 Reassigns benefits to 2 organizations
I20200730001014 KS Practitioner - Psychiatry 5193809218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottonwood Springs Physician Group LLCGroup PAC ID 6800199274, 21 clinicians

Practice addresses (Care Compare)

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000145787MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center Inc CurrentSince Apr 10, 2018 Accepting new patients
University Health Physicians CurrentSince Jul 27, 2019 Accepting new patients
Cameron Regional Medical Center Inc Current Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Apr 10, 2018 Accepting new patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
Cottonwood Springs Physician Group LLC Past Accepting new patients
Cottonwood Springs, LLC Past Accepting new patients
Midwest Division - RMC, LLC Past Accepting new patients

Locations

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

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

1000 E 24th St
Ofc 53
Kansas City, MO 64108
Phone (816) 404-3710

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1962591313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "STE 301",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331705",
            "telephone_number": "816-291-4700",
            "fax_number": "816-291-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 301",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64133",
            "telephone_number": "816-291-4700",
            "fax_number": "816-291-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHBAZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2000145787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205715105",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200307930A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.