Individual provider Active NPI

William Ronald Shanks, M.D.

  • Emergency Medicine Physician
  • Monticello, KY
National Provider Identifier
1225217797
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
44716 Issued in KY
Practice address
166 Hospital St
Monticello, KY 42633-2416
Phone
(606) 348-9343
NPI assigned
Oct 31, 2007
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 44716 KY Primary

Addresses

Primary practice location

166 Hospital St
Monticello, KY 42633-2416

Mailing address

166 Hospital St
Monticello, KY 42633-2416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20111115000281 KY Practitioner - Emergency Medicine 2961680657 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Medical Foundation, Inc.Group PAC ID 5092702472, 30 clinicians

Practice addresses (Care Compare)

529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone 27048792311199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.47 of 100Reported as group
Quality
85.04
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44716KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital Association Inc Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Monroe Medical Foundation, Inc. Emergency Medicine CurrentSince Oct 10, 2022 Accepting new patients
Monroe Medical Foundation, Inc. Emergency Medicine Current Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Current Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Jane Todd Crawford Memorial Hospital Inc. CurrentSince Jan 10, 2024 Accepting new patients
Rockcastle Emergency Group, LLC Emergency Medicine CurrentSince Jan 22, 2022 Accepting new patients
Casey County Hospital District CurrentSince Aug 20, 2022 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Sep 1, 2022 Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Emergency Medicine CurrentSince Sep 12, 2022 Accepting new patients
Casey County Hospital District CurrentSince Aug 20, 2022 Accepting new patients
Monroe Medical Foundation Inc CurrentSince Oct 10, 2022 Accepting new patients
Wayne County Hospital, Inc Emergency Medicine CurrentSince Feb 10, 2023 Accepting new patients
Wayne County Hospital, Inc CurrentSince Feb 10, 2023 Accepting new patients
JMHC Inc Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients

Locations

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

290 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 634-1921

310 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 299-2286

187 Wolford Ave
Liberty, KY 42539
Phone (606) 787-5044

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/caseyco-4151b385
  • FHIR API: https://fhir-usa.unify.chbase.com/org/janetod-f1571d3c

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1225217797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416",
            "telephone_number": "606-348-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "WILLIAM",
        "middle_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "44716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.