Shobha L Dixit (NPI# 1902871650, PAC ID# 5799712105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1902871650 |
| PAC ID by PECOS | 5799712105 |
| Professional Enrollment ID | I20050718000607 |
| Full Name | Shobha L Dixit |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Address |
322 Old State Rd Ellisville MO 63021-5917 |
| Phone Number | 6362273431 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587950589 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 322 Old State Rd, Ellisville, MO 63021-5917 | 6362273431 | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| 2150 W Randolph St, Saint Charles, MO 63301-0844 | 6369464966 | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 3145441111 | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| 894 Leland Ave, Saint Louis, MO 63130-3239 | 3147264767 | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 96% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 96% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 96% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 96% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 97% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 97% |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zackary D Coco | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 101 Cynthia St, Judsonia, AR 72081-9766 |
| Syreeta Van Ross | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Jei Martin | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 5400 Executive Centre Pkwy, Villages of St Peters Mo, Saint Peters, MO 63376-2594 |
| Rajendra Rao Gavini | General Practice | Ipc Pac Healthcare Services of Missouri Inc | 5303 Bermuda Dr, Saint Louis, MO 63121-1407 |
| Gopal K Nair | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 35 Sugar Maple Ln, Saint Charles, MO 63303-5740 |
| William F Sudholt | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Tiffany L Nelson | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Cierra Nicole Dillard | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Gina Iheonu Uzendu | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 1200 Graham Rd, Florissant, MO 63031-8015 |
| James L Paulsgrove | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Street Address |
322 OLD STATE RD |
| City | ELLISVILLE |
| State | MO |
| Zip | 63021-5917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Haller | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 1441 Charic Dr, Wildwood, MO 63021-2001 |
| Michael Ernest Johnson | Internal Medicine | Southeastern Physician Services PC | 1441 Charic Dr, Ballwin, MO 63021-2001 |
| Uyen Phan | Family Medicine | Southeastern Physician Services PC | 1441 Charic Dr, Ballwin, MO 63021-2001 |
| Carmen F Castellano | Optometry | The Koetting Associates Inc | 113 Old State Rd, Suite 101, Ellisville, MO 63021-2042 |
| Kaori A Sakurai | Internal Medicine | Generation Clinical Partners LLC | 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 |
| Jenna A Sanders | Nurse Practitioner | Tri-county Family Practice, LLC | 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 |
| Mohammad A Zaman | Internal Medicine | 703 Hesemann Ridge Ct, Wildwood, MO 63021-3602 | |
| Lisa A Chabot | Optometry | Chabot Community Eye Care PC | 312 Solley Dr, Ballwin, MO 63021-5248 |
| Duane J Marquart | Chiropractic | 201 Enchanted Pkwy, Ballwin, MO 63021-5493 | |
| Patrick H Fox | Chiropractic | 134 Enchanted Pkwy, Suite 104, Manchester, MO 63021-5495 | |
| Find all physicians in zip 63021 | |||
| City | ELLISVILLE |
| Zip Code | 63021 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ELLISVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shobha L Dixit.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.