NPIMap

Individual provider Active NPI

Russell E Shields, MD

  • Diagnostic Radiology Physician
  • Paducah, KY
National Provider Identifier
1477549483
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28841 Issued in KY
Practice address
3160 Parisa Dr
Paducah, KY 42003-4514
Phone
(270) 444-0878
Fax
(270) 444-6252
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28841 KY Primary

Addresses

Primary practice location

3160 Parisa Dr
Paducah, KY 42003-4514

Mailing address

PO Box 139
Evansville, IN 47701-0139
Phone (812) 471-1591

Other identifiers 1

IdentifierTypeStateIssuer
64288418MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000455 KY Practitioner - Diagnostic Radiology 9739235318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers Central KentuckyGroup PAC ID 6709119068, 44 clinicians
West End Imaging PLLCGroup PAC ID 8628471489, 8 clinicians
Radiology Group of Paducah PSCGroup PAC ID 7315845088, 12 clinicians

Practice addresses (Care Compare)

1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 854-1444

2371 New Holt Rd
Paducah, KY 42001-0000
Phone (270) 442-8272

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

2705 Kentucky Ave
Paducah, KY 42003-3805
Phone (270) 575-2100

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323
  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027
  • Marshall County Hospital Hospital, Benton, KY, CCN 181327

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Kentucky Current Accepting new patients
West End Imaging, PLLC Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
Primary Care Medical Center Inc Current Accepting new patients
VMD Primary Providers Central Kentucky CurrentSince Oct 1, 2025 Accepting new patients
Southern Orthopedic Associates SC Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

2371 New Holt Rd
Paducah, KY 42001
Phone (270) 442-8272

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 6

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477549483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010139",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034514",
            "telephone_number": "270-444-0878",
            "fax_number": "270-444-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RUSSELL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "28841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64288418",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.