NPIMap

Individual provider Active NPI

Shaukat Ali, M.D.

  • Nephrology Physician
  • Paducah, KY
National Provider Identifier
1700956844
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35371 Issued in KY
Practice address
1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913
Phone
(270) 538-5880
Fax
(270) 538-5870
NPI assigned
Nov 8, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35371 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913

Mailing address

1532 Lone Oak Rd Ste 315
Paducah, KY 42003-7942
Phone (270) 538-5880

Other identifiers 2

IdentifierTypeStateIssuer
64019433MedicaidKY
K275990OtherKYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090415000506 KY Practitioner - Internal MedicinePractitioner - Nephrology 3173595352 Reassigns benefits to 1 organization
I20091208000286 IL Practitioner - NephrologyPractitioner - Internal Medicine 3173595352 Reassigns benefits to 1 organization
I20190618003731 TN Practitioner - Nephrology 3173595352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of Paducah PLLCGroup PAC ID 1557605649, 9 clinicians

Practice addresses (Care Compare)

1323 E Wood St
Suite 400
Parist, TN 38242-4018
Phone (270) 538-5880

1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7942
Phone (270) 538-5880

20 Hospital Dr
Metropolis, IL 62960-2462
Phone (270) 538-5880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.69 of 100Reported as group
Quality
87.4
Improvement activities
40
Cost
82.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35371KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of Paducah PLLC Nephrology CurrentSince Dec 1, 2018 Accepting new patients
Nna of Paducah, LLC PastSince Apr 1, 2004 Accepting new patients
Gamma Acquisition, Inc. Past Accepting new patients

Locations

20 Hospital Dr
Metropolis, IL 62960
Phone (618) 524-3046

2484 Main St
Cadiz, KY 42211
Phone (270) 522-0170

210 Burley Ave
#D
Hopkinsville, KY 42240
Phone (270) 885-6353

1215 Johnson Blvd
Murray, KY 42071
Phone (270) 992-5000

300 S 8th St
Ste 282W
Murray, KY 42071
Phone (270) 522-0170

1532 Lone Oak Rd
Paducah, KY 42003
Phone (270) 442-3536

1532 Lone Oak Rd
Ste 315
Paducah, KY 42003
Phone (270) 522-0170

1323 E Wood St
Ste 400
Paris, TN 38242
Phone (731) 641-8754

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1700956844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 315",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037942",
            "telephone_number": "270-538-5880",
            "fax_number": "270-538-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "SUITE 315",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037913",
            "telephone_number": "270-538-5880",
            "fax_number": "270-538-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SHAUKAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "35371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64019433",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K275990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.