DR. SHANNON KOHAKE (MD) – Neurology Physician, NPI 1063631380

DR. SHANNON KOHAKE (MD) is a healthcare provider. based in North kansas city, Missouri. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 43050 (KY). The NPI Number for DR. SHANNON KOHAKE (MD) is 1063631380

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON KOHAKE (MD)
NPI
1063631380
Phone
(816) 472-5157
Address
2790 CLAY EDWARDS DR STE 1235
Enumeration Date
25 April 2007
Last Update Date
4 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8162764000
Graduation Year
2005 (21 years ago)
PAC ID
1658564109
Group Practice PAC ID
4082718796
Professional Enrollment ID
I20101018000376
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

811 NEUROLOGY in MO

Provider Addresses for DR. SHANNON KOHAKE (MD)

  • 2790 CLAY EDWARDS DR STE 1235

    NORTH KANSAS CITY, MO 641163276

    Phone: (816) 472-5157

    Fax: (816) 472-7200

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$87

General + Research + Ownership

Payments

4

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101018000376INeurologyMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes474225$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes143139$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3225$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2421$0
View full utilization report →

Insurance plans in this area (ZIP 64116)

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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: 4082718796View full group profile
NameSpecialtyState
Nurse PractitionerMO
N E U R O L O G YMO
-MO

Reviews

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Frequently asked questions

How do payers reference DR. SHANNON KOHAKE (MD)?
For DR. SHANNON KOHAKE (MD), use NPI 1063631380 as the unique 10-digit identifier.
Would DR. SHANNON KOHAKE (MD) appear as active to a payer?
You can treat DR. SHANNON KOHAKE (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. SHANNON KOHAKE (MD)'s focus?
For DR. SHANNON KOHAKE (MD), the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SHANNON KOHAKE (MD)?
Directory geography for DR. SHANNON KOHAKE (MD) centers on North Kansas City, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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