STEVEN RANDOLPH SHADIX (M.D.) – Hospitalist Physician, NPI 1285021113

STEVEN RANDOLPH SHADIX (M.D.) is a healthcare provider. based in Loma linda, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 67128 (TN). The NPI Number for STEVEN RANDOLPH SHADIX (M.D.) is 1285021113

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN RANDOLPH SHADIX (M.D.)
NPI
1285021113
Phone
(678) 778-9540
Address
11186 SAN MATEO DR APT B
Enumeration Date
17 April 2015
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4234952525
Graduation Year
2015 (11 years ago)
PAC ID
5193063394
Group Practice PAC ID
8022919570
Professional Enrollment ID
I20230317000442
Address ID
TN374041161CH2525XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for STEVEN RANDOLPH SHADIX (M.D.)

  • 11186 SAN MATEO DR APT B

    LOMA LINDA, CA 923543224

    Phone: (678) 778-9540

    Type: Mailing

  • 7941 HAMPTON COVE DR

    OOLTEWAH, TN 373637184

    Phone: (678) 778-9540

    Type: Mailing

  • 2525 DESALES AVE

    CHATTANOOGA, TN 374041161

    Phone: (423) 495-7404

    Type: Location

  • PO BOX 1464

    SAN LUIS OBISPO, CA 934061464

    Phone: (805) 439-2998

    Fax: (805) 439-2997

    Type: Mailing

  • 1911 JOHNSON AVE

    SAN LUIS OBISPO, CA 934014197

    Phone: (805) 543-5353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230317000442IInternal MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes252113$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes22692$0
99239Hospital discharge day management, more than 30 minutes121119$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2929$0
99497Advance care planning, first 30 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 92354)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022919570View full group profile
NameSpecialtyState
Nurse PractitionerTN
-KY
Radiation OncologyWV
Internal MedicineTN
Internal MedicineTN
-TN
-TN
Nurse PractitionerTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

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Frequently asked questions

Is there an official ID for STEVEN RANDOLPH SHADIX (M.D.) in U.S. healthcare records?
The official identifier for STEVEN RANDOLPH SHADIX (M.D.) is NPI 1285021113.
Is there an active status for STEVEN RANDOLPH SHADIX (M.D.)?
For scheduling context, STEVEN RANDOLPH SHADIX (M.D.) is shown as active in the registry.
What area of care is associated with STEVEN RANDOLPH SHADIX (M.D.)?
STEVEN RANDOLPH SHADIX (M.D.)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with STEVEN RANDOLPH SHADIX (M.D.)?
Directory geography for STEVEN RANDOLPH SHADIX (M.D.) centers on Loma Linda, California.
Does STEVEN RANDOLPH SHADIX (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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