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SHOCKEY INTERNAL MEDICINE PC
NPI 1437211406
Internal Medicine in Ardmore, OK

Active since December 15, 2006
2419 CHICKASAW BLVD, ARDMORE, OK 73401(580) 223-6767(580) 224-0275 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shockey Internal Medicine Pc NPPES

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

SHOCKEY INTERNAL MEDICINE PC (NPI 1437211406) is a healthcare organization registered as an internal medicine in Ardmore, Oklahoma and active in the NPI registry since December 2006. The organization lists Brian Michael Shockey, Owner, as its authorized official.

NPPES Registry Identity

NPI1437211406
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHOCKEY INTERNAL MEDICINE PC
Location Address2419 CHICKASAW BLVDArdmore, OK 73401-1466
Mailing Address2419 Chickasaw BlvdArdmore, OK 73401-1466 · (580) 223-6767 · Fax (580) 224-0275
Phone(580) 223-6767
Fax(580) 224-0275
Organization SubpartNo
Authorized OfficialBrian Michael ShockeyOwner · (580) 223-6767
Enumeration DateDecember 15, 2006
Last NPPES UpdateMay 15, 2008
✔ NPI 1437211406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 18264
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2419 CHICKASAW BLVD, Ardmore, OK 73401
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Other Identifiers 4

Medicare PIN800522353OK
Medicare UPINE04435OK
Medicaid100202500AOK
Medicare ID-Type Unspecified800522353OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shockey Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20040525000397Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shockey Internal Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Shockey, MD
Internal Medicine
NPI 1366404105
2419 CHICKASAW BLVD
Ardmore, OK 73401
(580) 223-6767
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shockey Internal Medicine PC's NPI number?

The NPI number for Shockey Internal Medicine PC is 1437211406. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Shockey Internal Medicine PC located?

Shockey Internal Medicine PC is located at 2419 Chickasaw Blvd, Ardmore, OK 73401. The listed phone number is (580) 223-6767.

What is Shockey Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shockey Internal Medicine PC enrolled in Medicare?

Yes. Shockey Internal Medicine PC is registered in the Medicare PECOS enrollment system.

When is Shockey Internal Medicine PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shockey Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shockey Internal Medicine PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shockey Internal Medicine PC was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.