Individual
KEVIN L SHADY
Active
Individual
KEVIN L SHADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036088119
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006021895
BLUE
IL
05
—
0360881191
—
IL
01
—
1390
BLUE
MO
01
—
1609006
PH PLAN
—
01
—
18177
BLUER CHOICE
—
05
—
208893503
—
MO
01
—
251709
H LINK
—
01
—
2781
GHP
—
01
—
300066968
RR CARE
—
01
—
300066973
RR CARE
—
01
—
300066978
RR CARE
—
01
—
398004
HLT PART
—
01
—
431725842MID
MERCY
—
01
—
46068
HCARE USA
—
01
—
F70866
GATE WAY
—
Enumeration date
11/01/2006
Last updated
03/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up