Organization Active NPI

SHPS, PLLC

  • Diagnostic Radiology Physician
  • Paducah, KY
National Provider Identifier
1790421089
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SHPS, PLLC
Practice address
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone
(207) 444-2177
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Aldo Ruffolo, DONPI 1235124561
Title
President
Phone
(813) 323-2599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU

Addresses

Primary practice location

1530 Lone Oak Rd
Paducah, KY 42003-7901

Mailing address

1409 Post Oak Blvd Unit 2103
Houston, TX 77056-3062
Phone (813) 323-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY, GA, PA, MI, VA, DC, PR, MN, NJ, MA, CA, HI, KS, CT, NC, MD, OK, NM, SC, NY, OH, UT, OR24 enrollments

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
O20220610001452 IL Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincolnwood, IL; South Barrington, IL; Skokie, IL; Park Ridge, IL; Oak Park, IL; Northbrook, IL; Kildeer, IL; Clarendon Hills, IL…
O20220707003956 KY Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 5 practitioners
Practice locations: Lexington, KY; Louisville, KY; Paducah, KY; Richmond, KY; Russellville, KY
O20220824003009 GA Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 6 practitioners
Practice locations: Atlanta, GA; Savannah, GA; Macon, GA; Augusta, GA; Kennesaw, GA
O20220901003480 PA Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Malvern, PA; Pittsburgh, PA; Phoenixville, PA; Philadelphia, PA; Paoli, PA; Huntingdon, PA
O20220906001095 MI Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 25 practitioners
Practice locations: Milford, MI; West Bloomfield, MI; Warren, MI; Walled Lake, MI; Vicksburg, MI; Spring Lake, MI; Saginaw, MI; Royal Oak, MI…
O20220923002019 VA Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 4 practitioners
Practice locations: Virginia Beach, VA; Hillsboro, VA
O20220929001131 DC Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD; Potomac, MD
O20220929004053 PR Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20220930000120 MN Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 3 practitioners
Practice locations: Eagan, MN; Plymouth, MN; Edina, MN
O20220930000584 NJ Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 2 practitioners
Practice locations: Hamilton, NJ; Tinton Falls, NJ
O20221010000582 MA Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Framingham, MA; Newburyport, MA
O20221019000479 CA Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 9 practitioners
Practice locations: Bakersfield, CA; Valencia, CA; Santa Monica, CA; San Luis Obispo, CA; San Diego, CA; Mill Valley, CA; La Jolla, CA; Kentfield, CA…
O20221026001878 HI Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 5 practitioners
Practice locations: Honolulu, HI; Kailua, HI; Kaneohe, HI
O20221114002453 KS Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20221222001404 CT Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: East Lyme, CT
O20230708000166 NC Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Apex, NC
O20230927002767 MD Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD
O20231103000590 OK Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Lawton, OK
O20231103000772 NM Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20231222000330 SC Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Blythewood, SC
O20250108000287 NY Part B Supplier - Clinic/Group Practice 7315325933 Practice locations: Ardsley, NY
O20250110001533 OH Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, OH; Westlake, OH
O20250123002934 UT Part B Supplier - Clinic/Group Practice 7315325933 Practice locations: Eden, UT
O20250123003162 OR Part B Supplier - Clinic/Group Practice 7315325933 Receives reassigned benefits from 1 practitioner
Practice locations: Oregon City, OR

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 103

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1790421089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 POST OAK BLVD UNIT 2103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563062",
            "telephone_number": "813-323-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "207-444-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHPS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "RUFFOLO",
        "authorized_official_first_name": "ALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-323-2599",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.