Individual provider Active NPI

Peter Scott Shashy, MD

  • Urology Physician
  • Montgomery, AL
National Provider Identifier
1477515971
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
00013201 Issued in AL
Practice address
1722 Pine St
Suite 502
Montgomery, AL 36106-1103
Phone
(334) 262-4418
Fax
(334) 264-5483
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 00013201 AL Primary

Addresses

Primary practice location

1722 Pine St
Suite 502
Montgomery, AL 36106-1103

Mailing address

1722 Pine St
Suite 502
Montgomery, AL 36106-1103
Phone (334) 262-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, ID2 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
I20120117000822 AL Practitioner - Urology 1557341856 Reassigns benefits to 1 organization
I20210907002107 ID Practitioner - Urology 1557341856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Alabama School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1722 Pine St
Montgomery, AL 36106-1109

1722 Pine St
Montgomery, AL 36106-1160

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 293-8000

1801 Pine St
Montgomery, AL 36106-1154

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149

Merit-based Incentive Payment System (MIPS)

Final score
71.1 of 100Reported as individual
Quality
66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00013201ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Clinic LLC CurrentSince Jul 17, 2021 Accepting new patients
Jackson Hospital and Clinic Inc CurrentSince Oct 24, 2014 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Oct 24, 2014 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1722 Pine St
Ste 204
Montgomery, AL 36106
Phone (334) 262-4418

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

775 Pole Line Rd W
Ste 301
Twin Falls, ID 83301
Phone (208) 814-8700

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

Networks

  • bcbs alabama network 01A0
  • bcbs alabama network 01G0
  • bcbs alabama network 01H0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0

Interoperability endpoints

  • Direct secure messaging: peter.shashy@direct.baptistfirst.org
  • Direct secure messaging: peter.shashy.1@9186.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1477515971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 502",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-262-4418",
            "fax_number": "334-264-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 502",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-262-4418",
            "fax_number": "334-264-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASHY",
        "first_name": "PETER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "00013201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.