MR. KUMAIL SHAH M.D.
NPI 1376922930
Hospitalist in North Kansas City, MO

Q: What is Kumail Shah's NPI number?

The NPI number for Kumail Shah is 1376922930. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Q: What is Kumail Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kumail Shah was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment

91.89/100

CMS Quality Rating

2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116(816) 455-0681(816) 455-5294 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2024, Jun 2, 2021, Apr 7, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Mr. Kumail Shah M.d. NPPES

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

MR. KUMAIL SHAH M.D. (NPI 1376922930) is an individual hospitalist provider in North Kansas City, Missouri, licensed in Missouri (2024023933) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Cameron Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376922930

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMR. KUMAIL SHAHCredential: M.D.

Location Address2700 CLAY EDWARDS DR STE 240North Kansas City, MO 64116-3254

Mailing Address9411 N Oak Trfy Ste Ll1Kansas City, MO 64155-2262 · (816) 691-1655

Phone(816) 455-0681

Fax(816) 455-5294

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 28, 2015

Last NPPES UpdateOctober 21, 20255 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1376922930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in MO · 2024023933✔ Licensed in CT · 67571✔ Licensed in ND · 17068

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036.145161 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2700 CLAY EDWARDS DR STE 240, North Kansas City, MO 64116

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kumail Shah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284984386

PECOS Enrollment IDI20240712002258

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

172 services168 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

93 services92 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services12 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cameron Regional Medical Center

Acute Care Hospitals · Cameron, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260057

Location1600 E EvergreenCameron, MO 64429 · Clinton County

Emergency services

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260096

Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.17

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%528 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%544 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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