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DR. SHELLSEA PORTILLO CANALES MD
NPI 1023629748
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Louis, MO

Active since August 14, 2020PECOS EnrolledAccepts Medicare Assignment
CENTER FOR SPECIALIZED MEDICINE 1225 S GRAND BLVD, SECOND FLOOR, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2025, Jun 24, 2025, Aug 14, 2020 (3 updates tracked since 2020).

About Dr. Shellsea Portillo Canales Md NPPES

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

DR. SHELLSEA PORTILLO CANALES MD (NPI 1023629748) is an individual endocrinology, diabetes & metabolism provider in Saint Louis, Missouri, licensed in Missouri (2023022535) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023629748
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SHELLSEA PORTILLO CANALESCredential: MD
Location AddressCENTER FOR SPECIALIZED MEDICINE 1225 S GRAND BLVD, SECOND FLOORSaint Louis, MO 63104-1016
Mailing Address743 N Park StSaint Louis, MO 63119-1907 · (929) 523-3782
Phone(314) 257-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2020
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1023629748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MO · 2023022535
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2023022535 (MO)
CENTER FOR SPECIALIZED MEDICINE 1225 S GRAND BLVD, Saint Louis, MO 63104
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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

Dr. Shellsea Portillo Canales 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 ID7113423096
PECOS Enrollment IDI20250930002572
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.

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shellsea Portillo Canales's NPI number?

The NPI number for Shellsea Portillo Canales is 1023629748. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Shellsea Portillo Canales located?

Shellsea Portillo Canales practices at Center For Specialized Medicine 1225 S Grand Blvd Second Floor, Saint Louis, MO 63104. The listed phone number is (314) 257-8000.

What is Shellsea Portillo Canales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shellsea Portillo Canales enrolled in Medicare?

Yes. Shellsea Portillo Canales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shellsea Portillo Canales affiliated with any hospitals?

According to CMS data, Shellsea Portillo Canales is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Shellsea Portillo Canales was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.