Raveen Shenoi, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2013026040 Issued in MO

Practice address

# Ma101
1 Hospital Drive
Columbia, MO 65212-0001

Phone

(572) 882-8885

NPI assigned

Aug 20, 2010

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, FL, IA3 enrollments

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 3

Specialty

Emergency Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson County HospitalGroup PAC ID 9335059575, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
• Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
• Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jefferson County Hospital

  dba Jefferson County Health Center

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Medicare reassignment Care Compare group NPD
• Bayside Emergency Physicians PA

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1396171518
  Medicare reassignment NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  MO

  Medicare reassignment NPD
• Jefferson County Hospital

  dba JCHC Richland Clinic

  • Rural Health Clinic/Center
  • Richland, IA
  • NPI 1881294536
  Medicare reassignment
• Jefferson County Hospital

  dba JCHC Provider Services

  • Family Medicine Physician
  • Fairfield, IA
  • NPI 1245643972
  NPD
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Care Compare affiliation
• Jefferson County Hospital

  dba Jefferson County Health Center

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Care Compare affiliation
• St. Anthonys Hospital, Inc.

  dba St. Anthonys Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1912213422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# MA101",
            "address_2": "1 HOSPITAL DRIVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "572-882-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# MA101",
            "address_2": "1 HOSPITAL DRIVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "572-882-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOI",
        "first_name": "RAVEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010024122",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2013026040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Shelton, PHD
• Katie A Shelton, MS RDN LD
• Marc Edward Shelton, M.D.
• Randee Shenkel
• Joel I Shenker, M.D.
• Stephanie E Shepard, MD
• Shepherd Higgins LLP
• Shepherd Higgins LLP (ATvanced Care)
• Elizabeth Ashley Sheppard, MD
• Allyn L Sher, MD

• Emergency Medicine Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.