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SHOOLIN LLC
NPI 1972012722
Hospitalist in Edmond, OK

Active since September 25, 2017
105 S BRYANT AVE STE 101, EDMOND, OK 73034(405) 861-0004(855) 680-8890 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 16, 2022, Nov 9, 2021 (2 updates tracked since 2021).

About Shoolin Llc NPPES

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

SHOOLIN LLC (NPI 1972012722) is a healthcare organization registered as a hospitalist in Edmond, Oklahoma and active in the NPI registry since September 2017. The organization lists Rakesh Shrivastava, Owner, as its authorized official.

NPPES Registry Identity

NPI1972012722
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameSHOOLIN LLC
Location Address105 S BRYANT AVE STE 101Edmond, OK 73034-6330
Mailing AddressPo Box 8350Edmond, OK 73083-8350 · (405) 861-0004 · Fax (855) 680-8890
Phone(405) 861-0004
Fax(855) 680-8890
Organization SubpartNo
Authorized OfficialRakesh ShrivastavaOwner · (405) 642-8613
Enumeration DateSeptember 25, 2017
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1972012722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OK · 27981
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 27981 (OK)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 27981 (OK)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 27981 (OK)
105 S BRYANT AVE STE 101, Edmond, OK 73034
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoolin Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Shoolin LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robin Whittenburg, APRN, CNS
Certified Clinical Nurse Specialist (CNS)
NPI 1598434714
105 S BRYANT AVE STE 101
Edmond, OK 73034
(405) 622-3063
✔ PECOSSame address
Rakesh Shrivastava, MD
Cardiovascular Disease (Cardiology)
NPI 1043250863
105 S BRYANT AVE STE 101
Edmond, OK 73034
(405) 861-0004
✔ PECOS✔ Accepts Medicare0.2 mi
Elizabeth Jackson, APRN-CNS
Nurse Practitioner
NPI 1184121907
3400 NW EXPRESSWAY STE 200
Oklahoma City, OK 73112
(405) 713-9900
✔ PECOS✔ Accepts Medicare11 mi
Monica Tubbesing, APRN
Nurse Practitioner
NPI 1063876985
3400 S DOUGLAS BLVD STE 304
Oklahoma City, OK 73150
(505) 622-3063
✔ PECOS✔ Accepts Medicare16 mi

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 Shoolin LLC's NPI number?

The NPI number for Shoolin LLC is 1972012722. It was assigned to this organization in the NPPES registry on September 25, 2017.

Where is Shoolin LLC located?

Shoolin LLC is located at 105 S Bryant Ave Ste 101, Edmond, OK 73034. The listed phone number is (405) 861-0004.

What is Shoolin LLC's specialty?

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

Is Shoolin LLC enrolled in Medicare?

Yes. Shoolin LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoolin LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Shoolin LLC, in Cardiovascular Disease (Cardiology), Certified Clinical Nurse Specialist (CNS) and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shoolin LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Shoolin LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shoolin LLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.