Individual provider Active NPI

Sandra Robbin Shuffett, M.D.

  • Diagnostic Radiology Physician
  • Lexington, KY
National Provider Identifier
1275578940
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43771 Issued in KY
Practice address
1760 Nicholasville Rd
Suite 401
Lexington, KY 40503-1471
Phone
(859) 260-6537
Fax
(859) 260-4151
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 045394 GA
Diagnostic Radiology Physician 2085R0202X 43771 KY Primary

Addresses

Primary practice location

1760 Nicholasville Rd
Suite 401
Lexington, KY 40503-1471

Mailing address

PO Box 910670
Lexington, KY 40591-0670
Phone (859) 971-4685

Other identifiers 1

IdentifierTypeStateIssuer
7100146460MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshuffett5942@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20040709000662 GA Practitioner - Diagnostic Radiology 2163320631 Reassigns benefits to 1 organization
I20110209000861 KY Practitioner - Diagnostic Radiology 2163320631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

107 Meridian Way
Suite 100
Richmond, KY 40475-2878
Phone (859) 260-6050

206 Bevins LN
Georgetown, KY 40324-6130
Phone (502) 868-0438

3000 Baptist Health Blvd
Suite 150
Lexington, KY 40509-8746
Phone (859) 260-6537

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

610 E Brannon Rd
Nicholasville, KY 40356-6046

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Oct 1, 2004 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Advance Technological Radiology, PA Diagnostic Radiology PastSince Oct 1, 2017 Accepting new patients
University of Kentucky Diagnostic Radiology PastSince Apr 1, 2018 Accepting new patients
The Kioski Atlanta Group Inc PastSince Aug 31, 2006 Accepting new patients
Radiology Associates of Columbus PC Diagnostic Radiology Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2101 Nicholasville Rd
Ste 204
Lexington, KY 40503
Phone (859) 260-4330

1760 Nicholasville Rd
Ste 401
Lexington, KY 40503
Phone (859) 260-6353

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1275578940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910670",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910670",
            "telephone_number": "859-971-4685",
            "fax_number": "859-971-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD",
            "address_2": "SUITE 401",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031471",
            "telephone_number": "859-260-6537",
            "fax_number": "859-260-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFFETT",
        "first_name": "SANDRA",
        "middle_name": "ROBBIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "045394",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "43771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100146460",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshuffett5942@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1760 Nicholasville Rd",
            "address_2": "Suite 401",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.