SHELLY LO MD
NPI 1013994086
Internal Medicine - Hematology & Oncology in Maywood, IL

Q: What is Shelly Lo's NPI number?

The NPI number for Shelly Lo is 1013994086. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Shelly Lo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Lo was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, LUH - NORTH ENT., RM. 7604, MAYWOOD, IL 60153(708) 216-3304(708) 216-1259 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shelly Lo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY LO MD (NPI 1013994086) is an individual hematology & oncology provider in Maywood, Illinois, licensed in Illinois (36111532) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1013994086

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSHELLY LOCredential: MD

Location Address2160 S 1ST AVE, LUH - NORTH ENT., RM. 7604Maywood, IL 60153-3328

Mailing Address2160 S 1st Ave, Luh - North Ent., Rm. 7604Maywood, IL 60153-3328 · (708) 216-3304 · Fax (708) 216-1259

Phone(708) 216-3304

Fax(708) 216-1259

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 29, 2005

Last NPPES UpdateFebruary 1, 2022

NPPES CertifiedFebruary 1, 2022

✔ NPI 1013994086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IL · 36111532

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2160 S 1ST AVE, Maywood, IL 60153

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Other Identifiers 1

Medicaid36111532IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelly Lo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143299909

PECOS Enrollment IDI20040928001118

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

119 services84 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

104 services69 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

76 services52 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

46 services46 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

40 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers36 claims3,456 services$0.73 avg. paid by Medicare

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

2 suppliers41 claims124 services$34.73 avg. paid by Medicare

Breast prosthesis, silicone or equal, without integral adhesive L8030

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$259.44 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers24 claims24 services$18.95 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers12 claims12 services$12.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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