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SHANNON ARORA MD
NPI 1376035105
Family Medicine in Madisonville, KY

Active since June 06, 2018PECOS Enrolled
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7200(270) 825-7266 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2022, Aug 2, 2021 (2 updates tracked since 2021).

About Shannon Arora Md NPPES

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

SHANNON ARORA MD (NPI 1376035105) is an individual family medicine provider in Madisonville, Kentucky, licensed in West Virginia (30526) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Parkersburg.

NPPES Registry Identity

NPI1376035105
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANNON ARORACredential: MD
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address200 Clinic DrMadisonville, KY 42431-1661 · (270) 825-7200 · Fax (270) 825-7266
Phone(270) 825-7200
Fax(270) 825-7266
Sole ProprietorYes
Enumeration DateJune 6, 2018
Last NPPES UpdateAugust 31, 20222 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1376035105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WV · 30526✔ Licensed in IL · 036.159768✔ Licensed in KY · 53785✔ Licensed in ME · MD26097✔ Licensed in MI · EMC0001876✔ Licensed in NH · 22953✔ Licensed in TN · 66079✔ Licensed in WI · 1956-320
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 CLINIC DR, Madisonville, KY 42431
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Secondary Practice Location 1

Location 1800 Garfield AveParkersburg, WV 26101-5376 · Phone (304) 422-0405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Arora Md 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

18

Medicare enrollment records show Shannon Arora reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of Florida - Jacksonville II LLC
98 mi
Internal Medicine
120 BRENTWOOD COMMONS WAY STE 510
Brentwood, TN 37027
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
NPI 1184354524 (615) 371-5741
Cogent Healthcare Of Tennessee, PC
137 mi
Internal Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 142 clinicians in this Medicare group
NPI 1952654246 (731) 285-2410
Sound Physicians Of Indiana, LLC
148 mi
Hospitalist
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
NPI 1184063257 (812) 238-7000
Cogent Healthcare Of Kentucky, Psc
170 mi
Internal Medicine
1 SAINT JOSEPH DR
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
NPI 1053362293 (859) 313-1000
Sound Physicians Of Illinois, LLC
188 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Hospitalist Medicine Physicians Of Ohio, Professional Corporation
310 mi
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
NPI 1043572290 (614) 234-7535
Hospitalist Medicine Physicians Of West Virginia- Tcg PLLC
323 mi
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 72 clinicians in this Medicare group
NPI 1386122844 (304) 766-3600
Sound Inpatient Physicians-Michigan, PLLC
358 mi
Internal Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1093967861 (269) 226-7000
Hospitalist Medicine Physicians Of Wisconsin, Ltd
362 mi
Internal Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 21 clinicians in this Medicare group
NPI 1699902809 (262) 656-2011
Cogent Healthcare Of Georgia PC
376 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
459 services450 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
92 services89 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
29 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
25 services24 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
16 services16 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers20 claims20 services$37.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$76.85 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$12.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HEATHER RAE PENDLEY
Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
KRISTIN WICKHAM M.D.
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200
OHIO VALLEY NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6601
DR. TIMI A AKINS MD
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5220
JAMES CRISS YELTON M.D.
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-6655
TEHMINA KHAN MD
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6690
RACHEL ELIZABETH VAUGHAN
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
BRENDA L. BRUCE KCSA
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200

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 Arora's NPI number?

The NPI number for Shannon Arora is 1376035105. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Shannon Arora located?

Shannon Arora practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-7200.

What is Shannon Arora's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Arora enrolled in Medicare?

Yes. Shannon Arora is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Arora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Arora reassigns Medicare benefits to 18 organizations: Hospitalist Medicine Physicians Of Florida - Jacksonville II LLC (Brentwood, TN), Cogent Healthcare Of Tennessee, PC (Dyersburg, TN), Sound Physicians Of Indiana, LLC (Terre Haute, IN), Cogent Healthcare Of Kentucky, Psc (Lexington, KY), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and 13 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 Shannon Arora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Arora accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Providence Health Plan list Shannon Arora 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 Arora was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.