Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shamant Tippor, MD

Individual provider Internal Medicine Physician · NPI 1679744809

Dr. Shamant Tippor, MD is an Internal Medicine in Springfield, Missouri. Qualified in 2004, 22 years ago. Practices with Pioneer Medical Group Pl, a 69-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
22
Licensed in
IL, MO
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1235 E Cherokee St St John's Clinic Hospitalist Dept
Springfield, MO 65804-2203
Phone: (417) 820-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2011006614 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125050620 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2011006614 (MO)

Record details

NPI number1679744809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2008
Last updated in NPPESMay 9, 2017
Mailing addressPo Box 2580, Springfield, MO 65801-2580

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Pioneer Medical Group Pl — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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