MR. IRAKLI SHENGELIA (PA) – Medical Physician Assistant, NPI 1033382072

MR. IRAKLI SHENGELIA (PA) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2008005284 (MO). The NPI Number for MR. IRAKLI SHENGELIA (PA) is 1033382072

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. IRAKLI SHENGELIA (PA)
NPI
1033382072
Phone
(800) 862-9980
Address
1 BARNES JEWISH HOSPITAL PLZ
Enumeration Date
10 April 2008
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149965000
Graduation Year
2008 (18 years ago)
PAC ID
6103990908
Group Practice PAC ID
3476461955
Professional Enrollment ID
I20080728000500
Address ID
MO631312329SA3015XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,854 PHYSICIAN ASSISTANT in MO

Provider Addresses for MR. IRAKLI SHENGELIA (PA)

  • 1 BARNES JEWISH HOSPITAL PLZ

    DEPT ANESTHESIOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8054

    SAINT LOUIS, MO 631101010

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Exact Sciences Corporation ($125).

Total Amount

$141

General + Research + Ownership

Payments

2

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-05-05

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
I20080728000500IPhysician AssistantMOTBD
I20200505000558IPhysician AssistantILTBD

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
99292Critical care, each additional 30 minutes18856$0
99291Critical care, first 30-74 minutes12979$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1715$0
36620Insertion of artery tube for blood sampling or infusion through skin1717$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 3476461955View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MO
O B S T E T R I C S/ G Y N E C O L O G YMO
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

How do payers reference MR. IRAKLI SHENGELIA (PA)?
For MR. IRAKLI SHENGELIA (PA), use NPI 1033382072 as the unique 10-digit identifier.
Is MR. IRAKLI SHENGELIA (PA) shown as active in public data?
Registry records indicate MR. IRAKLI SHENGELIA (PA) maintains an active NPI.
What expertise is attributed to MR. IRAKLI SHENGELIA (PA)?
MR. IRAKLI SHENGELIA (PA)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Missouri is MR. IRAKLI SHENGELIA (PA) registered?
Use Saint Louis, Missouri as the headline location for MR. IRAKLI SHENGELIA (PA) here.
Can I trust this NPI listing for MR. IRAKLI SHENGELIA (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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