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

Shivan Shetty, DO

Individual provider Internal Medicine Physician · NPI 1508446196

Shivan Shetty, DO is an Internal Medicine in Kirkwood, Missouri. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2021, 5 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MO
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1001 S Kirkwood Rd Ste 300
Kirkwood, MO 63122-7250
Phone: (314) 525-4225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2024002469 (MO)

Record details

NPI number1508446196
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2021
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing addressPo Box 776084, Chicago, IL 60677-6084

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2021 (5 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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