SWAROOP SHANKER MD
NPI 1417332479
Hospitalist in Saint Louis, MO
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 maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Swaroop Shanker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 clinicians in this Medicare group
Hagerstown, MD 21742
- Reassigned Medicare billing, Maryland enrollment
- 91 clinicians in this Medicare group
Gwynn Oak, MD 21207
- Reassigned Medicare billing, Maryland enrollment
- 52 clinicians in this Medicare group
Prince Frederick, MD 20678
- Reassigned Medicare billing, Maryland enrollment
- 71 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.
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.
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, MOChristian Hospital Northeast
Acute Care Hospitals · Saint Louis, MOPhysician 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.
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.
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.
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.
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.
Which organizations bill Medicare for Swaroop Shanker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Swaroop Shanker reassigns Medicare benefits to 4 organizations: Physician Groups Lc (Saint Louis, MO), Mdics At Meritus Medical Center, LLC (Hagerstown, MD), Mdics At Umroi, LLC (Gwynn Oak, MD) and Mdics At Calvert LLC (Prince Frederick, MD). 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 Swaroop Shanker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Swaroop Shanker, MD · NPI 1417332479
Hospitalist physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 20, 2015.
## Identity
- **NPI:** 1417332479 (Entity type: Individual)
- **Enumerated:** July 20, 2015
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2023018525 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 11133 DUNN RD STE 2427, Saint Louis, MO 63136-6163
- **Phone:** (314) 653-5643
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Physician Groups Lc (NPI 1285664268, Saint Louis, MO); Mdics At Meritus Medical Center, LLC (NPI 1306258645, Hagerstown, MD); Mdics At Umroi, LLC (NPI 1588023667, Gwynn Oak, MD); Mdics At Calvert LLC (NPI 1033404207, Prince Frederick, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417332479) · Data from the CMS NPPES public registry.