SWAROOP SHANKER MD
NPI 1417332479
Hospitalist in Saint Louis, MO

Active since July 20, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136(314) 653-5643 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2023, Jan 21, 2022 (2 updates tracked since 2022).

About Swaroop Shanker Md NPPES

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

SWAROOP SHANKER MD (NPI 1417332479) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (2023018525) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417332479
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSWAROOP SHANKERCredential: MD
Location Address11133 DUNN RD STE 2427Saint Louis, MO 63136-6163
Mailing Address11133 Dunn Rd Ste 2427Saint Louis, MO 63136-6163 · (314) 653-5643
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 20, 2015
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1417332479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in MO · 2023018525 Licensed in MD · D84678
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License D84678 (MD), 2023018525 (MO), 263792 (MA)
11133 DUNN RD STE 2427, Saint Louis, MO 63136

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

Swaroop Shanker 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.

PECOS PAC ID9638460009
PECOS Enrollment IDI20231207003096
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.

Areas of Expertise CMS Part B claims 3

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
230 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
56 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
50 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.92
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$4.87 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 19

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

Hospitalist
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136
Hospitalist
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136
Hospitalist
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136
Hospitalist
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136
Internal Medicine (Hospice and Palliative Medicine)
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136
Nurse Practitioner (Family)
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136
Hospitalist
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136
Hospitalist
11133 DUNN RD STE 2427
SAINT LOUIS, MO 63136

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 Swaroop Shanker's NPI number?

The NPI number for Swaroop Shanker is 1417332479. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Swaroop Shanker located?

Swaroop Shanker practices at 11133 Dunn Rd Ste 2427, Saint Louis, MO 63136. The listed phone number is (314) 653-5643.

What is Swaroop Shanker's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Swaroop Shanker enrolled in Medicare?

Yes. Swaroop Shanker 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.

Is Swaroop Shanker affiliated with any hospitals?

According to CMS data, Swaroop Shanker is affiliated with Barnes Jewish Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Swaroop Shanker was last updated on November 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.