KUMIKO SHIMODA (MD) – Anesthesiology Physician, NPI 1366422958

KUMIKO SHIMODA (MD) is a healthcare provider. based in St louis, Missouri. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 105153 (MO). The NPI Number for KUMIKO SHIMODA (MD) is 1366422958

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
KUMIKO SHIMODA (MD)
NPI
1366422958
Phone
(314) 768-8442
Address
6420 CLAYTON ROAD
Enumeration Date
19 January 2006
Last Update Date
10 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144341500
Graduation Year
1990 (36 years ago)
PAC ID
4688687510
Group Practice PAC ID
6204720667
Professional Enrollment ID
I20081205000817
Address ID
MO630173406CH232XXRDXX587
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,228 ANESTHESIOLOGY in MO

Loading map...

Provider Addresses for KUMIKO SHIMODA (MD)

  • SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    ST LOUIS, MO 631171811

    Phone: (314) 768-8442

    Fax: (314) 768-8918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($36).

Total Amount

$74

General + Research + Ownership

Payments

4

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

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: 2008-12-05

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
I20081205000817IAnesthesiologyMOTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00670Anesthesia for extensive surgery on spine1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1716$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1616$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 63117)

Loading plans...

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: 6204720667View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to KUMIKO SHIMODA (MD)?
The federal identifier for KUMIKO SHIMODA (MD) is NPI 1366422958.
Is KUMIKO SHIMODA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KUMIKO SHIMODA (MD)'s specialty in plain language?
Clinically, the directory lists KUMIKO SHIMODA (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does KUMIKO SHIMODA (MD) practice in Missouri?
You will see St Louis, Missouri on file for KUMIKO SHIMODA (MD) alongside any extra practice locations.
What if St Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

MRS. NATALIE WONG CALHOON (M.D.)

Anesthesiology Physician
1066, Executive Parkway Drive, Fernridge, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1487650768

DR. TATYANA R DEMIDOVICH (MD)

Anesthesiology Physician
3635 VISTA AVE FDT3
NPI: 1376539668

KEVIN M OCONNOR (MD)

Anesthesiology Physician
SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States
NPI: 1417936246

JEFFREY OWEN BRAY (DO)

Anesthesiology Physician
SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States
NPI: 1245219088

BARUGUR S. RAVI (M.D.)

Anesthesiology Physician
Lofts at the Highlands, 1031, Highlands Plaza Drive West, Cheltenham, City of Saint Louis, Missouri, 63110, United States
NPI: 1164493441

PREMIER ANESTHESIA LLC

Anesthesiology Physician
North Outer Forty, Town and Country, Saint Louis County, Missouri, 63006, United States
NPI: 1225073828

SPECIALISTS IN ANESTHESIA PC

Anesthesiology Physician
3933, South Broadway, Dutchtown, St. Louis, Missouri, 63118, United States
NPI: 1689619280

DR. JOHN JACOB LONG (DO)

Anesthesiology Physician
660 S EUCLID AVE CB 8054
NPI: 1063442648

MARION F SVENDROWSKI (MD)

Anesthesiology Physician
3691 RUTGER AVE
NPI: 1861417669