SHAIRKO MISSOURI (MD) – Anesthesiology Physician, NPI 1215239488

SHAIRKO MISSOURI (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 293668 (MA). The NPI Number for SHAIRKO MISSOURI (MD) is 1215239488

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
SHAIRKO MISSOURI (MD)
NPI
1215239488
Phone
Not provided
Address
960 MASSACHUSETTS AVENUE
Enumeration Date
22 November 2010
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176386950
Graduation Year
1985 (41 years ago)
PAC ID
6406804772
Group Practice PAC ID
5092055236
Professional Enrollment ID
I20230907000347
Address ID
MA021182908BO1XXXXPLXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for SHAIRKO MISSOURI (MD)

  • 960 MASSACHUSETTS AVENUE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 1 BOSTON MEDICAL CENTER PLACE

    BOSTON, MA 02118

    Phone: (617) 638-6950

    Fax: (617) 638-6966

    Type: Location

  • 1020 THOMPSON ST

    JERSEY SHORE, PA 177401729

    Phone: (570) 398-0100

    Fax: (570) 398-3999

    Type: Mailing

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: 2023-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110204000869IAnesthesiologyPATBD
I20230907000347IAnesthesiologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02118)

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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: 5092055236View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)LA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

What unique ID ties claims to SHAIRKO MISSOURI (MD)?
NPI 1215239488 is assigned to SHAIRKO MISSOURI (MD) under the national enumeration system.
Is SHAIRKO MISSOURI (MD) active in the national directory?
SHAIRKO MISSOURI (MD)'s public NPI profile is in an active state.
Does SHAIRKO MISSOURI (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for SHAIRKO MISSOURI (MD). Clinical services aligned with this taxonomy classification.
Where is SHAIRKO MISSOURI (MD)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for SHAIRKO MISSOURI (MD).
How can I contact SHAIRKO MISSOURI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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