JOHN EDWIN SHUMAN PA
NPI 1104808625
Physician Assistant - Surgical in Saint Louis, MO

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD, SUITE 7003B, SAINT LOUIS, MO 63141(314) 251-5570 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Edwin Shuman Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN EDWIN SHUMAN PA (NPI 1104808625) is an individual surgical provider in Saint Louis, Missouri, licensed in Missouri (2003026623) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104808625
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN EDWIN SHUMANCredential: PA
Location Address621 S NEW BALLAS RD, SUITE 7003BSaint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd, Suite 7003bSaint Louis, MO 63141-8232 · (314) 251-5570
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 18, 2005
Last NPPES UpdateDecember 7, 2016
NPI 1104808625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MO · 2003026623
621 S NEW BALLAS RD, Saint Louis, MO 63141

Other Identifiers 2

Medicare ID-Type Unspecified000097067MO
Medicare UPINS74941

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Edwin Shuman Pa 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.

PECOS PAC ID4688560808
PECOS Enrollment IDI20060124000042
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141

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 John Shuman's NPI number?

The NPI number for John Shuman is 1104808625. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is John Shuman located?

John Shuman practices at 621 S New Ballas Rd Suite 7003B, Saint Louis, MO 63141. The listed phone number is (314) 251-5570.

What is John Shuman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Shuman enrolled in Medicare?

Yes. John Shuman 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.

What insurance does John Shuman accept?

Health plans from Medica and UnitedHealthcare list John Shuman 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 John Shuman was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.