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SHANNON KELLEY
NPI 1053112391
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

Active since March 22, 2025PECOS Enrolled
251 E HURON ST, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Mar 22, 2025 (2 updates tracked since 2025).

About Shannon Kelley NPPES

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

SHANNON KELLEY (NPI 1053112391) is an individual anatomic pathology & clinical pathology provider in Chicago, Illinois, licensed in Illinois (125.086582) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053112391
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSHANNON KELLEY
Location Address251 E HURON STChicago, IL 60611-2908
Mailing Address251 E Huron StChicago, IL 60611-2908 · (312) 926-2000
Phone(312) 926-2000
Sole ProprietorNo
Enumeration DateMarch 22, 2025
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1053112391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IL · 125.086582
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
251 E HURON ST, Chicago, IL 60611
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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 (PECOS)

Shannon Kelley 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

MARK WANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Cook County (312) 503-8144
DR. MARLEY ANN DOYLE M/D.
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Cook County (312) 926-6895
CASSIDY SCHWAB MD
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 695-0061
SEONG PARK
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
EMMA WALLS GREEVER MD
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
NICOLE ELIZABETH TRUPIANO MD
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
ASHRAF SAMHAN MD
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
DR. SABINA SPIGNER MD, MS, MPH
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000

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 Shannon Kelley's NPI number?

The NPI number for Shannon Kelley is 1053112391. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is Shannon Kelley located?

Shannon Kelley practices at 251 E Huron St, Chicago, IL 60611. The listed phone number is (312) 926-2000.

What is Shannon Kelley's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Shannon Kelley enrolled in Medicare?

Yes. Shannon Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Kelley was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.