1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Surgery
  6. NPI Profile

DR. SHELBIE WADDLE DO, MS, MS
NPI 1023630399
Surgery in Chicago, IL

Active since May 10, 2020PECOS Enrolled
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611(312) 503-7975 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Jun 18, 2024, Jun 21, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Shelbie Waddle Do, Ms, Ms NPPES

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

DR. SHELBIE WADDLE DO, MS, MS (NPI 1023630399) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (125.084651) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023630399
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SHELBIE WADDLECredential: DO, MS, MS
Location Address420 E SUPERIOR ST STE 9-900Chicago, IL 60611-4494
Mailing Address420 E Superior St Ste 9-900Chicago, IL 60611-4494
Phone(312) 503-7975
Sole ProprietorNo
Enumeration DateMay 10, 2020
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1023630399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125.084651
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
420 E SUPERIOR ST STE 9-900, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15400 S Rainbow Blvd Ste 302Las Vegas, NV 89118-1859 · Phone (702) 853-3000
Location 2759 Chestnut StSpringfield, MA 01199-0001 · Phone (413) 794-0000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shelbie Waddle Do, Ms, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAMIE MICHAEL
Urology
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975
DR. DAVID MARC CIVITARESE DO
Physical Medicine & Rehabilitation
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975
BHAGVAT MAHETA MD
Surgery
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975
ELISSA ABOU KHALIL MD
Student in an Organized Health Care Education/Training Program
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975
DR. ANIRUDDHA SRIVASTAVA MD
Internal Medicine (Gastroenterology)
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975
ANA SOFIA SOLIS ZAVALA MD
Pediatrics
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975
KAYLEA GUNN
Anesthesiology
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975
BRIAN FLORENZO MD
Anesthesiology
420 E SUPERIOR ST STE 9-900
CHICAGO, IL 60611
Cook County (312) 503-7975

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 Shelbie Waddle's NPI number?

The NPI number for Shelbie Waddle is 1023630399. It was assigned to this individual provider in the NPPES registry on May 10, 2020.

Where is Shelbie Waddle located?

Shelbie Waddle practices at 420 E Superior St Ste 9-900, Chicago, IL 60611. The listed phone number is (312) 503-7975.

What is Shelbie Waddle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shelbie Waddle enrolled in Medicare?

Yes. Shelbie Waddle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelbie Waddle was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.