Individual provider Active NPI

Rachel Elizabeth Shakofsky, MD

  • Pediatrics Physician
  • Chesterfield, MO
National Provider Identifier
1952570152
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2010008122 Issued in MO
Practice address
13001 N Outer 40 Rd
Ste 310
Chesterfield, MO 63017-5941
Phone
(314) 454-6400
Fax
(314) 454-6401
NPI assigned
Feb 21, 2008
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 2010008122 MO
Pediatrics Physician 208000000X 2010008122 MO Primary
Hospitalist Physician 208M00000X 2010008122 MO

Addresses

Primary practice location

13001 N Outer 40 Rd
Ste 310
Chesterfield, MO 63017-5941

Mailing address

PO Box 7412029
Chicago, IL 60674-2029
Phone (314) 454-6400

Other identifiers 1

IdentifierTypeStateIssuer
204209209MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20100720000132 MO Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 4082746581 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010008122MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2010 Accepting new patients
University Pediatric Associates LLC Pediatrics CurrentSince Sep 2, 2018 Accepting new patients
Washington University CurrentSince Jul 1, 2010 Accepting new patients

Locations

13001 North Outer 40 Rd
Ste 310
Chesterfield, MO 63017
Phone (314) 454-6400

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

1234 S Kingshighway Blvd
Ste 1200
Saint Louis, MO 63110

Interoperability endpoints

  • Direct secure messaging: rshakofsky161694@direct.carenet.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1952570152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742029",
            "telephone_number": "314-454-6400",
            "fax_number": "314-454-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 N OUTER 40 RD",
            "address_2": "STE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175941",
            "telephone_number": "314-454-6400",
            "fax_number": "314-454-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOFSKY",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "MO",
            "license": "2010008122",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2010008122",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2010008122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204209209",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "13001 N Outer 40 Rd",
            "address_2": "STE 310",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630175941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.