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KEVIN L SHADY MD
NPI 1245317304
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since November 01, 2006
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin L Shady Md NPPES

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

KEVIN L SHADY MD (NPI 1245317304) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Illinois (036088119) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1245317304
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKEVIN L SHADYCredential: MD
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621 · (314) 652-4100 · Fax (314) 548-4748
Phone(314) 652-4100
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1245317304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IL · 036088119
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
915 N GRAND BLVD, Saint Louis, MO 63106
Open in Google Maps ↗

Other Identifiers 15

Other300066968Rr Care
Other300066973Rr Care
Other1390MO · Blue
Medicaid208893503MO
Other398004Hlt Part
Other46068Hcare Usa
Medicaid0360881191IL
Other2781Ghp
OtherF70866Gate Way
Other431725842MIDMercy
Other0006021895IL · Blue
Other18177Bluer Choice
Other1609006Ph Plan
Other251709H Link
Other300066978Rr Care

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.

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

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 Kevin Shady's NPI number?

The NPI number for Kevin Shady is 1245317304. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kevin Shady located?

Kevin Shady practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Kevin Shady's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kevin Shady was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.