DR. JEFFREY L SHORE MD NPI 1972547412

NPI Information

  • NPI: 1972547412
  • Provider Name: DR. JEFFREY L SHORE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3015 N BALLAS RD
    DEPT RADIOLOGY
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 996-5170

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NPI Details

DR. Jeffrey L Shore, MD is a diagnostic radiology radiology in Saint Louis, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jeffrey L Shore, MD NPI is 1972547412. 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:

3015 N BALLAS RD
DEPT RADIOLOGY
SAINT LOUIS, MO
ZIP 63131-329
Phone: (314) 996-5170
Fax: (314) 996-4261

The NPI 1972547412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer 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)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of spine, 1 view (HCPCS:72020)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of both hips, 2 views (HCPCS:73521)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 11/15/2021.

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 RadiologyR3J81MISSOURIYes

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
1203021415MEDICAIDMISSOURI

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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