SHANNON KIRK M.D. NPI 1477579480

NPI Information

  • NPI: 1477579480
  • Provider Name: SHANNON KIRK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11234 ANDERSON ST
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (909) 558-8311

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NPI Details

Shannon Kirk, M.D. is a diagnostic radiology radiology in Loma Linda, CA with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shannon Kirk, M.D. NPI is 1477579480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-8311

The NPI 1477579480 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 (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Ct scan of heart structure with contrast (HCPCS:75572)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of heart before and after contrast (HCPCS:75561)
  • Ct scan of blood vessels of abdomen with contrast (HCPCS:74175)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • 3d radiographic procedure (HCPCS:76376)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of transplanted kidney (HCPCS:76776)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA54578CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H19316MEDICARE UPIN
200A545780MEDICARE ID-TYPE UNSPECIFIED
300A545780MEDICAIDCALIFORNIA

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: 11/21/2025

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