Shayibu Harruna, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

2016030318 Issued in MO

Practice address

6500 Hospital Dr
Hannibal, MO 63401-6890

Phone

(573) 629-3300

Fax

(573) 629-3314

NPI assigned

Jun 1, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Regional Heart Associates LLCGroup PAC ID 1850532292, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

95.84

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shayibu.harruna@hca5.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Regional Heart Associates, LLC

  • Cardiovascular Disease Physician
  • Tallahassee, FL
  • NPI 1992043509
  Medicare reassignment Care Compare group NPD
• Memorial Satilla Specialists, LLC

  • General Practice Physician
  • Waycross, GA
  • NPI 1295266955
  Medicare reassignment NPD
• West Florida Cardiology Physicians, LLC

  • Cardiovascular Disease Physician
  • Pensacola, FL
  • NPI 1346503398
  Medicare reassignment NPD
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahassee Medical Center Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1134449192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "address_2": "6500 HOSPITAL DRIVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011239",
            "telephone_number": "573-629-3300",
            "fax_number": "573-629-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3300",
            "fax_number": "573-629-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRUNA",
        "first_name": "SHAYIBU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2016030318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05513481",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2153447",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHAYIBU.HARRUNA@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6500 Hospital Dr",
            "city": "Hannibal",
            "state": "MO",
            "country_code": "US",
            "postal_code": "634016890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Mae Hardy, DNAP, CRNA
• Gillian Hark
• Harmony Grace Home Care Services LLC
• Matthew C Harris, LPC
• Ashley Diane Harrison, RN, BSN
• Luke Hart
• Rachel Beth Hart, RPH
• Kaitlyn Hartig, MS, OTR/L
• Keegan Marie Harvey, RNFA
• Kathleen E Haycraft, N.P.

• Interventional Cardiology Physician in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Interventional Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.