Individual provider Active NPI

Shane Joseph Larue, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Hannibal, MO
National Provider Identifier
1811955180
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
2009013305 Issued in MO
Practice address
100 Medical Dr
Hannibal, MO 63401-6877
Phone
(573) 231-3167
Fax
(573) 221-1659
NPI assigned
May 3, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2009013305 MO
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 2009013305 MO Primary

Addresses

Primary practice location

100 Medical Dr
Hannibal, MO 63401-6877

Mailing address

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

Other practice location 1

4921 Parkview Pl Ste 8A
Ste 8A
Saint Louis, MO 63110-1032
Phone (314) 362-1291

Other identifiers 2

IdentifierTypeStateIssuer
1811955180MedicaidMO
ENROLLEDMedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slarue@hannibalclinic.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20130729000851 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Advanced Heart Failure and Transplant Cardiology 3870685365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Advanced Heart Failure and Transplant Cardiology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Care Specialists LLCGroup PAC ID 2062774755, 16 clinicians

Practice addresses (Care Compare)

450 N New Ballas Rd
Suite 270
Saint Louis, MO 63141-6836
Phone (314) 991-6969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care Specialists, LLC Cardiovascular Disease CurrentSince Jan 18, 2022 Accepting new patients
Minuteclinic Diagnostic of Kansas PA CurrentSince Jul 25, 2022 Accepting new patients
Washington University CurrentSince Nov 21, 2018 Accepting new patients
Washington University CurrentSince Nov 21, 2018 Accepting new patients
William R Reilly Inc Past Accepting new patients
Stoughton Hospital Association Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1151 Hazel Ln
Farmington, MO 63640
Phone (573) 705-7870

100 Medical Dr
Hannibal, MO 63401

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

1020 N Mason Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 996-3162

450 N New Ballas Rd
Ste 270
Saint Louis, MO 63141
Phone (314) 989-1300

450 N New Ballas Rd
Ste 270W
Saint Louis, MO 63141
Phone (314) 991-6969

4921 Parkview Pl
Ste 8A
Saint Louis, MO 63110
Phone (314) 362-7841

660 S Euclid Ave
#C
Saint Louis, MO 63110

8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375

Interoperability endpoints

  • Direct secure messaging: ms_slarue4@landmarkhealth-direct.org
  • Direct secure messaging: slarue@hannibalclinic.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1811955180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016877",
            "telephone_number": "573-221-5250",
            "fax_number": "573-221-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016877",
            "telephone_number": "573-231-3167",
            "fax_number": "573-221-1659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Parkview Pl Ste 8A",
            "address_2": "Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101032",
            "country_code": "US",
            "telephone_number": "314-362-1291",
            "fax_number": "314-362-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARUE",
        "first_name": "SHANE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-09-29",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2009013305",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "MO",
            "license": "2009013305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811955180",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slarue@hannibalclinic.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Medical Dr",
            "city": "Hannibal",
            "state": "MO",
            "country_code": "US",
            "postal_code": "634016877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.