ROBERT MICHAEL SHIVELY (MD) – Family Medicine Physician, NPI 1750334991

Family Medicine Physician

ROBERT MICHAEL SHIVELY (MD) is a healthcare provider. based in Gardner, Kansas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0422740 (KS). The NPI Number for ROBERT MICHAEL SHIVELY (MD) is 1750334991

Main info

Male

40 Years Of Experience

Accepts Medicare Assignment

Name

ROBERT MICHAEL SHIVELY (MD)

NPI

1750334991

Phone

(913) 856-5577

Address

18320 SO CENTER ST

Enumeration Date

18 May 2006

Last Update Date

8 September 2011

Doctor Profile

Medical School Name

UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)

Secondary Phone

9138565577

Graduation Year

1986 (40 years ago)

PAC ID

3779612783

Group Practice PAC ID

7618881905

Professional Enrollment ID

I20100601000784

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT MICHAEL SHIVELY (MD)

South Center Street, Gardner, Grundy County, Illinois, 60424, United States
GARDNER, KS 66030
Phone: (913) 856-5577
Fax: (913) 856-3907
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7618881905View full group profile

Name	Specialty	State
ANITA KISH (P.A.)	-	KS
BROOKE LIN OTTESEN (APRN)	-	TN
MATTHEW BRAXTON SHERMAN (STUDENT, HEALTH CARE)	-	KS
CRAIG A ANDERSON (M.D.)	-	KS
DOMINIQUE M CRAIN (M.D.)	-	KS
DARRIN ALEXANDER DAVIS (DO)	-	KS
JOSEPH WALTER O'CONNOR (PA-C)	-	KS
DR. TODD B SMITH (MD)	-	KS
KATHRYN P CHARTRAND (DO)	-	KS
KRISTA ANN CHERNOFF (APRN)	-	MO

Reviews

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Frequently asked questions

What unique ID ties claims to ROBERT MICHAEL SHIVELY (MD)?

NPI 1750334991 is assigned to ROBERT MICHAEL SHIVELY (MD) under the national enumeration system.

Does this profile mean ROBERT MICHAEL SHIVELY (MD) is currently active?

Yes — ROBERT MICHAEL SHIVELY (MD) appears active in the national provider directory.

Can you summarize ROBERT MICHAEL SHIVELY (MD)'s specialty in plain language?

Clinically, the directory lists ROBERT MICHAEL SHIVELY (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.

Where does public data place ROBERT MICHAEL SHIVELY (MD)?

The snapshot lists Gardner, Kansas for ROBERT MICHAEL SHIVELY (MD); download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.