NPIMap

Individual provider Active NPI

Tina Shah, MD

  • Rheumatology Physician
  • Kansas City, MO
National Provider Identifier
1972766368
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD038290 Issued in DC
Practice address
4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone
(703) 751-8804
Fax
(703) 751-1218
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101247807 VA
Rheumatology Physician 207RR0500X MD038290 DC Primary
Internal Medicine Physician 207R00000X MD038290 DC

Addresses

Primary practice location

4440 Broadway Blvd
Kansas City, MO 64111-3315

Mailing address

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (703) 751-8804

Other practice location 1

101 S Whiting St Ste 105
Alexandria, VA 22304-3416
Phone (703) 751-8804

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
I20170606001661 MO Practitioner - RheumatologyPractitioner - Internal Medicine 6002002565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 561-9200

777 NW Blue Pkwy
Suite 3100
Lees Summit, MO 64086-5799
Phone (816) 531-0930

8350 N Saint Clair Ave
Suite 100
Kansas City, MO 64151-5102
Phone (913) 258-2116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Physician Partners Inc Internal Medicine CurrentSince Jul 10, 2017 Accepting new patients
Kansas City Physician Partners, Inc. Rheumatology CurrentSince Jul 10, 2017 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine Past Accepting new patients

Locations

4330 Wornall Rd
Ste 40
Kansas City, MO 64111
Phone (816) 531-0930

4440 Broadway Blvd
Kansas City, MO 64111
Phone (816) 531-0930

8350 N Saint Clair Ave
Ste 100
Kansas City, MO 64151
Phone (816) 531-0930

Interoperability endpoints

  • Direct secure messaging: tina.shah@direct.kcphypartner.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 8

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1972766368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "703-751-8804",
            "fax_number": "703-751-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "703-751-8804",
            "fax_number": "703-751-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Whiting St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223043416",
            "country_code": "US",
            "telephone_number": "703-751-8804",
            "fax_number": "703-751-1218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101247807",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DC",
            "license": "MD038290",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD038290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.