DR. SHELAH RADKE M.D., J.D.
NPI 1366695967
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Louis, MO

Active since October 28, 2008PECOS Enrolled
970 EXECUTIVE PARKWAY DR, SAINT LOUIS, MO 63141(314) 628-6540 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shelah Radke M.d., J.d. NPPES

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

DR. SHELAH RADKE M.D., J.D. (NPI 1366695967) is an individual child & adolescent psychiatry provider in Saint Louis, Missouri, licensed in Missouri (2019014043) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shaker Heights.

NPPES Registry Identity

NPI1366695967
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SHELAH RADKECredential: M.D., J.D.
Location Address970 EXECUTIVE PARKWAY DRSaint Louis, MO 63141
Mailing Address970 Executive Parkway DrSaint Louis, MO 63141-6302 · (314) 628-6540
Sole ProprietorYes
Enumeration DateOctober 28, 2008
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1366695967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in MO · 2019014043✔ Licensed in OH · 35.122835
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 14419 (57.0) MD (OH)
970 EXECUTIVE PARKWAY DR, Saint Louis, MO 63141

Secondary Practice Location 1

Location 122001 Fairmount BlvdShaker Heights, OH 44118-4819 · Phone (216) 320-8924 · Fax (216) 320-8745

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shelah Radke M.d., J.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Shelah Radke reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
615 S NEW BALLAS RD, ADMIN BUILDING 5TH FLOOR
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 28 clinicians in this Medicare group
Hospitalist
10010 KENNERLY RD, 3 SOUTHBRIDGE
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
  • 340 clinicians in this Medicare group
Hospitalist
901 E 5TH ST
Washington, MO 63090
  • Reassigned Medicare billing, Missouri enrollment
  • 261 clinicians in this Medicare group
Internal Medicine
1400 US HIGHWAY 61
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 299 clinicians in this Medicare group
Emergency Medicine
3125 DR RUSSELL SMITH WAY
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Missouri and Ohio enrollments
  • 28 clinicians in this Medicare group
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 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.

Other Providers at the Same Location NPPES 14

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

Counselor (Professional)
970 EXECUTIVE PARKWAY DR
SAINT LOUIS, MO 63141
Social Worker (Clinical)
970 EXECUTIVE PARKWAY DR
SAINT LOUIS, MO 63141
Counselor (Professional)
970 EXECUTIVE PARKWAY DR
SAINT LOUIS, MO 63141
Social Worker (Clinical)
970 EXECUTIVE PARKWAY DR
SAINT LOUIS, MO 63141
Psychologist (Family)
970 EXECUTIVE PARKWAY DR
CREVE COEUR, MO 63141
Psychologist (Clinical Child & Adolescent)
970 EXECUTIVE PARKWAY DR, ST. JOHN'S FAMILY THERAPY
SAINT LOUIS, MO 63141
Social Worker (Clinical)
970 EXECUTIVE PARKWAY DR
SAINT LOUIS, MO 63141
Social Worker (Clinical)
970 EXECUTIVE PARKWAY DR
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 Shelah Radke's NPI number?

The NPI number for Shelah Radke is 1366695967. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Shelah Radke located?

Shelah Radke practices at 970 Executive Parkway Dr, Saint Louis, MO 63141. The listed phone number is (314) 628-6540.

What is Shelah Radke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shelah Radke enrolled in Medicare?

Yes. Shelah Radke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelah Radke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelah Radke reassigns Medicare benefits to 7 organizations: Mercy East Support Services, LLC (Saint Louis, MO), St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO), Mercy Clinic Adult Hospitalists - Washington, LLC (Washington, MO), Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO), Mercy Clinic Joplin LLC (Carthage, MO) and 2 more organizations, listed in the Medicare section above. 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 Shelah Radke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelah Radke accept?

Health plans from Medica and UnitedHealthcare list Shelah Radke 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 Shelah Radke was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.