Individual provider Active NPI

Shadi Bakjaji, MD

  • Pediatric Endocrinology Physician
  • Columbia, MO
National Provider Identifier
1205564754
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
2025031595 Issued in MO
Practice address
1020 Hitt St
Columbia, MO 65212-0001
Phone
(573) 882-6921
Fax
(573) 882-1154
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 2025031595 MO Primary

Addresses

Primary practice location

1020 Hitt St
Columbia, MO 65212-0001

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Shadi.Bakjaji@nationwidechildrens.org Direct Nationwide Childrens Hospital
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250902001816 MO Practitioner - EndocrinologyPractitioner - Pediatric Medicine 5294236105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Pediatric Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Hospital Dr
Columbia, MO 65212-1001

5923 Screaming Eagle LN
Columbia, MO 65201-7695

PO Box
Kansas City, MO 64184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Curators of the University of Missouri CurrentSince Aug 22, 2025 Accepting new patients
Curators of the University of Missouri CurrentSince Aug 22, 2025 Accepting new patients

Locations

1021 Hitt St
Columbia, MO 65212
Phone (573) 882-2272

1020 Hitt St
Columbia, MO 65212
Phone (573) 882-6921

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

Interoperability endpoints

  • Direct secure messaging: shadi.bakjaji@nationwidechildrens.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1205564754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HITT ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-6921",
            "fax_number": "573-882-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKJAJI",
        "first_name": "SHADI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MO",
            "license": "2025031595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shadi.Bakjaji@nationwidechildrens.org",
            "affiliation": "Y",
            "endpointDescription": "Shadi.Bakjaji@nationwidechildrens.org",
            "affiliationName": "Nationwide Childrens Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 Childrens Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432052639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Drive",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.