ZACHARY ALAN SHANITKVICH – Obstetrics & Gynecology Physician, NPI 1033408968
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
Provider Addresses for ZACHARY ALAN SHANITKVICH
13109 DELMAR ST
LEAWOOD, KS 662094147
Phone: (314) 803-8779
Type: Mailing
2340 E MEYER BLVD STE 598
KANSAS CITY, MO 641321112
Phone: (816) 444-6888
Type: Location
PO BOX 60447
CHARLOTTE, NC 282600447
Phone:
Type: Mailing
1450 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 281052387
Phone: (704) 246-1846
Fax: (704) 246-1462
Type: Location
1721 Ebenezer Rd Ste 145
Rock Hill, SC 297321119
Phone: (803) 328-2401
Type: Location
2340 E Meyer Blvd Ste 598
Kansas City, MO 641321112
Phone: (816) 444-6888
Type: Location
325 Hawthorne Ln Ste 200
Charlotte, NC 282042536
Phone: (704) 973-2106
Fax: (704) 973-2395
Type: Location
1721 EBENEZER RD STE 145
ROCK HILL, SC 297321119
Phone: (803) 328-2401
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $6.
Total Amount is formed as General ($6) + Research ($0) + Ownership ($0) = $6.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Organon LLC ($6).
Total Amount
$6
General + Research + Ownership
Payments
1
Total payment records
General Amount
$6
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $6 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160125000735 | I | Obstetrics/Gynecology | NC | TBD |
| I20220822000682 | I | Obstetrics/Gynecology | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 66209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Hospitalist, Internal Medicine | AR | |
| - | NC | |
| - | NC | |
| - | NC |
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