Shady Adib Keleh, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Columbia, MO
NPI 1669737227 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1669737227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 2015012491 (MO)
- Practice address
- 1100 Virginia Ave
Columbia, MO 65212-0001 - Phone
- (573) 884-7100
- Fax
- (573) 884-7706
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Curators of the University of Missouri
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
Hospital & facility affiliations
- University of Missouri Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150811004281 | MO | Practitioner - Pain Management |
3779898457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curators of the University of Missouri | Current |
Accepting new patients | |
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1100 Virginia Ave
Columbia, MO 65212
Phone (573) 882-2663
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2015012491 | MO | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2015012491 | MO | Yes |
Addresses
Primary practice location
1100 Virginia Ave
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other names
- Shady Adib
Other providers in Columbia, MO
- Sonya Addison
- Sadiat Omowunmi Adebiyi
- Patrick Adejoh
- Edward H Adelstein
- Abiola Ganiyat Adesola
- Florence Ifeoma Adimora-Nweke
- Charlene Adkins
- Cary Dean Adkisson
- Advanced Medical Group, LLC
- Advanced Physical Health, P.C.
All providers in Columbia, MO · Pain Medicine (Anesthesiology) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.