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KEVIN L SHADY MD NPI 1245317304


NPI Information

NPI: 1245317304
Provider Name: KEVIN L SHADY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
ONE MEMORIAL DRIVE
ALTON MEMORIAL HOSPITAL
ALTON, IL
ZIP 62002
Phone: (618) 463-7415
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Kevin L Shady, MD is a diagnostic radiology radiology in Alton, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kevin L Shady, MD NPI is 1245317304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ONE MEMORIAL DRIVE
ALTON MEMORIAL HOSPITAL
ALTON, IL
ZIP 62002
Phone: (618) 463-7415
Fax: (314) 821-2180

The NPI 1245317304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound pelvis through vagina (HCPCS:76830)

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology036088119ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
118177OTHERBLUER CHOICE
21390OTHERMISSOURIBLUE
346068OTHERHCARE USA
4398004OTHERHLT PART
5431725842MIDOTHERMERCY
60006021895OTHERILLINOISBLUE
7251709OTHERH LINK
8208893503MEDICAIDMISSOURI
92781OTHERGHP
10L40190MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
110360881191MEDICAIDILLINOIS
12F70866OTHERGATE WAY
13300066973OTHERRR CARE
14300066968OTHERRR CARE
15300066978OTHERRR CARE
16F70866MEDICARE UPIN
171609006OTHERPH PLAN
18L40190MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.