Shannon Delaney Parimi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036143406 Issued in IL

Practice address

SSM O'Fallon Pediatrics
604 Pierce Blvd
O'Fallon, IL 62269

Phone

(618) 222-9244

Fax

(618) 222-9248

NPI assigned

Apr 16, 2014

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Shannon Delaney Kopsky Former name

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skopsky112932@direct-ehr-ssmhc.com

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.

• SSM Medical Group, Inc.

  dba SSM Health Medical Group

  • Multi-Specialty Clinic/Center
  • Fenton, MO
  • NPI 1700966207

  IL, Single Specialty

  Medicare reassignment NPD
• SSM Medical Group Inc.

  dba SSM Health Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Warrenton, MO
  • NPI 1467997155
  NPD
• Physician Services Corporation of Southern Illinois Inc.

  dba SSM Health Medical Group

  • Internal Medicine Physician
  • Mount Vernon, IL
  • NPI 1831101807

  Single Specialty

  NPD (past)
• SSM Depaul Medical Group, Inc.

  dba SSM Health Medical Group

  • Internal Medicine Physician
  • Maryland Heights, MO
  • NPI 1760456743

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1801215900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BARNARD COLLEGE LANE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "636-236-4283",
            "fax_number": "618-222-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SSM O'FALLON PEDIATRICS",
            "address_2": "604 PIERCE BLVD",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-222-9244",
            "fax_number": "618-222-9248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 South Grand Boulevard, Room 1204",
            "address_2": "SSM Cardinal Glennon Children's Medical Center",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "63104",
            "country_code": "US",
            "telephone_number": "314-577-5600",
            "fax_number": "314-577-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARIMI",
        "first_name": "SHANNON",
        "middle_name": "DELANEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.143406",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2017010788",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036143406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "KOPSKY",
            "middle_name": "DELANEY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pacem Wellness, LLC
• Victoria Catherine Page
• Amanda Marie Pagel, M.S. CFY-SLP
• Summit Subhash Pandat, M.D.
• Kacey Panyik, APN CNM
• Parker Roustio DMD Inc.
• Jaylen Alexander Parks
• Kyle K Parrilla, DC
• Gerald Paskert
• Jerica Renee Patek

• Pediatrics Physician in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.