SHANNON EDMONDS ARDOIN MD
NPI 1053575506
Radiology - Diagnostic Radiology in Little Rock, AR
About Shannon Edmonds Ardoin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON EDMONDS ARDOIN MD (NPI 1053575506) is an individual diagnostic radiology provider in Little Rock, Arkansas, licensed in Arkansas (E-4819) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon Edmonds Ardoin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Shannon Ardoin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 266 clinicians in this Medicare group
Jackson, MS 39203
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Mississippi State Hospital At Whitfield
- 67 clinicians in this Medicare group
Port Gibson, MS 39150
- Reassigned Medicare billing, Mississippi enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shannon Ardoin's NPI number?
The NPI number for Shannon Ardoin is 1053575506. It was assigned to this individual provider in the NPPES registry on July 14, 2008.
Where is Shannon Ardoin located?
Shannon Ardoin practices at 44 Colony Rd, Little Rock, AR 72227. The listed phone number is (501) 960-2422.
What is Shannon Ardoin's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Shannon Ardoin enrolled in Medicare?
Yes. Shannon Ardoin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shannon Ardoin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ardoin reassigns Medicare benefits to 3 organizations: Arcare (Little Rock, AR), Mississippi State Hospital (Jackson, MS) and Claiborne County Hospital (Port Gibson, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Ardoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Ardoin accept?
Health plans from HMO Louisiana, Health Advantage, Octave and UnitedHealthcare list Shannon Ardoin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Ardoin was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shannon Edmonds Ardoin, MD · NPI 1053575506
Diagnostic Radiology physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since July 14, 2008.
## Identity
- **NPI:** 1053575506 (Entity type: Individual)
- **Enumerated:** July 14, 2008
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** E-4819 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 44 COLONY RD, Little Rock, AR 72227-2947
- **Phone:** (501) 960-2422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Arcare (NPI 1770948663, Little Rock, AR); Mississippi State Hospital (NPI 1134366867, Jackson, MS); Claiborne County Hospital (NPI 1710238324, Port Gibson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** June 9, 2016
- **Other identifiers:** Medicare PIN 512I300158 (MS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1053575506) · Data from the CMS NPPES public registry.