DR. SHILPKUMAR ARORA MD MPH
NPI 1699194365
Internal Medicine - Interventional Cardiology in Saint Louis, MO

Q: What is Shilpkumar Arora's NPI number?

The NPI number for Shilpkumar Arora is 1699194365. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Q: What is Shilpkumar Arora's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Shilpkumar Arora was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 April 10, 2014PECOS EnrolledAccepts Medicare Assignment

1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-3508 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, May 22, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Shilpkumar Arora Md Mph NPPES

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

DR. SHILPKUMAR ARORA MD MPH (NPI 1699194365) is an individual interventional cardiology provider in Saint Louis, Missouri, licensed in Illinois (036169086) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1699194365

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. SHILPKUMAR ARORACredential: MD MPH

Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address1201 S Grand BlvdSaint Louis, MO 63104-1016 · (314) 617-3508

Phone(314) 617-3508

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 10, 2014

Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1699194365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in IL · 036169086✔ Licensed in TX · T6816✔ Licensed in OH · 35.135530

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD461382 (PA), 35.135530 (OH)

1201 S GRAND BLVD, Saint Louis, MO 63104

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Secondary Practice Location 1

Location 14600 Memorial Dr Ste W1Belleville, IL 62226-5359 · Phone (618) 233-3066

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, MedMutual and more.Insurance ›

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

Dr. Shilpkumar Arora Md Mph 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 ID8921379264

PECOS Enrollment IDI20240624004741, I20240625003092

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 Shilpkumar Arora reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group

Same address

Internal Medicine

1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104

Reassigned Medicare billing, Missouri enrollment
1,294 clinicians in this Medicare group

NPI 1306589544 (314) 977-6100

Fairview Heights Medical Group, Sc

13 mi

Internal Medicine

670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Illinois enrollment
507 clinicians in this Medicare group

NPI 1811392210 (314) 996-7644

Ssm Medical Group, Inc.

15 mi

Multi-Specialty

1011 BOWLES AVE, SUITE 300
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
697 clinicians in this Medicare group

NPI 1700966207 (636) 496-5000

Osf Multi-Specialty Group

153 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

Ohiohealth Corporation

398 mi

Family Medicine

3535 OLENTANGY RIVER RD
Columbus, OH 43214

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1578545273 (614) 533-5500

Southwest General Medical Group, Inc.

481 mi

Internal Medicine

4065 CENTER RD., #210
Cleveland, OH 44212

Reassigned Medicare billing, Ohio enrollment
283 clinicians in this Medicare group

NPI 1588713325 (330) 558-0050

University Hospitals Medical Group Inc

499 mi

Multi-Specialty

11100 EUCLID AVE
Cleveland, OH 44106

Reassigned Medicare billing, Ohio enrollment
3,958 clinicians in this Medicare group

NPI 1669499414 (216) 844-1000

Guthrie Medical Group, P.C.

718 mi

Family Medicine

110 PLAZA LN
Wellsboro, PA 16901

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Guthrie Medical Group PC
830 clinicians in this Medicare group

NPI 1952350167 (570) 724-4241

Apogee Medical Group Of Pennsylvania PC

1,258 mi

Internal Medicine

15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254

Reassigned Medicare billing, Pennsylvania enrollment
383 clinicians in this Medicare group

NPI 1568633535 (972) 269-1907

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 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

237 services187 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

42 services42 patients

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.

28 services14 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

25 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

12 services12 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.

12 services11 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

11 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140052

LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140184

Location3333 W DeyoungMarion, IL 62959 · Williamson County

Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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.

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.

DOUG LONGO APRN

Nurse Practitioner (Acute Care)