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

Shalen Kouk, MD

Individual provider Orthopaedic Surgery Physician · NPI 1558748871

Shalen Kouk, MD is an Orthopedic Surgery in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Alabama and Missouri.

Years since qualifying
11
Licensed in
AL, MO
In the registry since
2015
Specialties on file
2
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

12700 Southfork Rd Ste 100
Saint Louis, MO 63128-3201
Phone: (314) 543-5284
Fax: (314) 543-5276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 2022039230 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD.40953 (AL)

Record details

NPI number1558748871
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2015
Last updated in NPPESMarch 21, 2023
Certification dateJanuary 24, 2023

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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