Active NPI
Shelden Selas Rodrigues, MBBS
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125073998
- Practice address
- 660 S Euclid Ave
Saint Louis, MO 63110-1010 - Phone
- (314) 362-7211
- Fax
- (314) 747-3743
- NPI assigned
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125073998 | IL | Primary |
Addresses
Primary practice location
660 S Euclid Ave
Saint Louis, MO 63110-1010
Mailing address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 504-1600
301 Flynn Dr
Milbank, SD 57252-1508
Phone (605) 432-4587
310 22ND Ave
Brookings, SD 57006-2474
4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 322-9777
4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000
810 E 23Rd St
Sioux Falls, SD 57105-2135
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125073998 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Internal Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
1301 S Cliff Ave
Ste 4401
Sioux Falls, SD 57105
Phone (605) 322-5800
Interoperability endpoints
- shelden.rodrigues@avera.sdhealthlink.net
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Nephrology Physician
- Sioux Falls, SD
- NPI 1104892892
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sioux Falls, SD
- NPI 1710316252
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brookings, SD
- NPI 1891055174
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Milbank, SD
- NPI 1952841629
Dialysis facility
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1336702927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-7211",
"fax_number": "314-747-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "SHELDEN",
"middle_name": "SELAS",
"name_prefix": "Mr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-18",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125073998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.