Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SARA SHABAN MD
NPI 1205538196
Student in an Organized Health Care Education/Training Program in Hutchinson, KS

Active since March 22, 2023PECOS Enrolled
2101 N WALDRON ST, HUTCHINSON, KS 67502(620) 669-2500(800) 779-6979 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2026, Mar 22, 2023 (2 updates tracked since 2023).

About Sara Shaban Md NPPES

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

SARA SHABAN MD (NPI 1205538196) is an individual student in an organized health care education/training program in Hutchinson, Kansas and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205538196
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARA SHABANCredential: MD
Location Address2101 N WALDRON STHutchinson, KS 67502-1197
Mailing Address2101 N Waldron StHutchinson, KS 67502-1197 · (620) 669-2500 · Fax (800) 779-6979
Fax(800) 779-6979
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1205538196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2101 N WALDRON ST, Hutchinson, KS 67502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sara Shaban Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2101 N WALDRON ST
HUTCHINSON, KS 67502
Ophthalmology
2101 N WALDRON ST
HUTCHINSON, KS 67502
Orthopaedic Surgery
2101 N WALDRON ST
HUTCHINSON, KS 67502
Internal Medicine
2101 N WALDRON ST
HUTCHINSON, KS 67502
Obstetrics & Gynecology
2101 N WALDRON ST
HUTCHINSON, KS 67502
Physical Therapist
2101 N WALDRON ST
HUTCHINSON, KS 67502
Physical Therapist
2101 N WALDRON ST
HUTCHINSON, KS 67502
Physical Medicine & Rehabilitation
2101 N WALDRON ST
HUTCHINSON, KS 67502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205538196, enumerated as an "individual" on March 22, 2023.

The provider is located at 2101 N WALDRON ST HUTCHINSON, KS 67502 and the phone number is (620) 669-2500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.