SHAW PLASTIC SURGERY, LLC
NPI 1174973606
Plastic Surgery in Wichita, KS

Q: What is Shaw Plastic Surgery, LLC's NPI number?

The NPI number for Shaw Plastic Surgery, LLC is 1174973606. It was assigned to this organization in the NPPES registry on June 15, 2016.

Q: What is Shaw Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since June 15, 2016

3595 N WEBB RD, WICHITA, KS 67226(316) 440-9801(316) 440-9701 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2016, Jun 15, 2016 (2 updates tracked since 2016).

On this page

About Shaw Plastic Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAW PLASTIC SURGERY, LLC (NPI 1174973606) is a healthcare organization registered as a plastic surgery in Wichita, Kansas and active in the NPI registry since June 2016. The organization lists Beth Gustaf, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174973606

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameSHAW PLASTIC SURGERY, LLC

Location Address3595 N WEBB RDWichita, KS 67226-8168

Mailing Address3595 N Webb RdWichita, KS 67226-8168 · (316) 440-9801 · Fax (316) 440-9701

Phone(316) 440-9801

Fax(316) 440-9701

Organization SubpartNo

Authorized OfficialBeth GustafOffice Manager · (316) 440-9801

Enumeration DateJune 15, 2016

Last NPPES UpdateJune 22, 20162 updates tracked since enumeration

✔ NPI 1174973606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

3595 N WEBB RD, Wichita, KS 67226

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaw Plastic Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shaw Plastic Surgery, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Shaw, M.D.

Plastic and Reconstructive Surgery

NPI 1457459364

3595 N WEBB RD
Wichita, KS 67226

(316) 440-9801

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaw Plastic Surgery, LLC's NPI number?

The NPI number for Shaw Plastic Surgery, LLC is 1174973606. It was assigned to this organization in the NPPES registry on June 15, 2016.

Where is Shaw Plastic Surgery, LLC located?

Shaw Plastic Surgery, LLC is located at 3595 N Webb Rd, Wichita, KS 67226. The listed phone number is (316) 440-9801.

What is Shaw Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Shaw Plastic Surgery, LLC enrolled in Medicare?

Yes. Shaw Plastic Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shaw Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Shaw Plastic Surgery, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shaw Plastic Surgery, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Shaw Plastic Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaw Plastic Surgery, LLC was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.