SHELBY D RIFKIN MD
NPI 1639166481
Internal Medicine - Hematology & Oncology in Jefferson City, MO

Q: What is Shelby Rifkin's NPI number?

The NPI number for Shelby Rifkin is 1639166481. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Q: What is Shelby Rifkin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Rifkin was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment

1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109(573) 632-4800(573) 632-5874 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2021, Sep 14, 2020, Apr 19, 2018 (3 updates tracked since 2018).

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About Shelby D Rifkin Md NPPES

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

SHELBY D RIFKIN MD (NPI 1639166481) is an individual hematology & oncology provider in Jefferson City, Missouri, licensed in Wisconsin (21520-20) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1639166481

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameSHELBY D RIFKINCredential: MD

Location Address1432 SOUTHWEST BLVDJefferson City, MO 65109-2444

Mailing AddressPo Box 1128Jefferson City, MO 65102-1128 · (573) 632-4800 · Fax (573) 632-5874

Phone(573) 632-4800

Fax(573) 632-5874

Sole ProprietorNo

Medical School CMSOtherGraduated 1969

Enumeration DateOctober 5, 2005

Last NPPES UpdateApril 28, 20213 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1639166481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in WI · 21520-20✔ Licensed in IL · 036043437

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-043437 (IL)

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 036-043437 (IL)

1432 SOUTHWEST BLVD, Jefferson City, MO 65109

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Other Identifiers 2

Other123240003MO · Medicare Ptan

Medicaid036-043437IL

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

Shelby D Rifkin 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 ID8123928306

PECOS Enrollment IDI20150609001683

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

Medicare enrollment records show Shelby Rifkin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians

305 mi

Anesthesiology

2400 N ROCKTON AVE
Rockford, IL 61103

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1023275278 (815) 971-5000

Cook County

316 mi

General Acute Care Hospital

15900 SOUTH CICERO AVENUE
Oak Forest, IL 60452

Reassigned Medicare billing, Illinois enrollment
1,047 clinicians in this Medicare group

NPI 1023228731 (708) 633-3400

Ascension Medical Group-Southeast Wisconsin Inc

384 mi

Anesthesiology

2301 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1194473066 (414) 585-1000

Thompson Oncology Group

489 mi

Hematology & Oncology

1915 WHITE AVE
Knoxville, TN 37916

Reassigned Medicare billing, Tennessee enrollment
139 clinicians in this Medicare group

NPI 1619975737 (865) 541-1720

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

113 services68 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services16 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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

$161.24 typical visit price

range $52.28 – $161.24

Typical copayment $40.31 (range $13.07 – $40.31)

Most-billed visit code 99205

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

VINEELA KASIREDDY MD

Internal Medicine (Hematology & Oncology)