SHAWN BERRY SOOD (MD MBA) – Pediatric Critical Care Medicine Physician, NPI 1699161778
Pediatric Critical Care Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
261 PEDIATRIC MEDICINE in OK
Provider Addresses for SHAWN BERRY SOOD (MD MBA)
6161 S Yale Ave
Tulsa, OK 741361992
Phone: (918) 494-2200
Type: Location
1021 Hitt St
Columbia, MO 652120001
Phone: (573) 882-2272
Fax: (573) 884-5179
Type: Location
4444 E 41ST ST
TULSA, OK 741352527
Phone:
Type: Mailing
2106 OLATHE BLVD MAILSTOP 4004
KANSAS CITY, KS 661600001
Phone: (913) 588-5000
Type: Mailing
4000 CAMBRIDGE ST
KANSAS CITY, KS 661602527
Phone: (913) 588-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2023-08-28 • Largest payer in this snapshot: Potrero Medical, Inc. ($69).
Total Amount
$69
General + Research + Ownership
Payments
1
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Potrero Medical, Inc. | $69 |
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: 2024-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211108002226 | I | Critical Care (Intensivists) | OK | TBD |
| I20220223001327 | I | Pediatric Medicine | KS | TBD |
| I20240522001657 | I | Pediatric Medicine | MO | TBD |
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.
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 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| General Surgery | MO | |
| Family Practice | MO | |
| Psychiatry, Neurology | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO |
Reviews
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