DR. SHANNON L TILLY MD
NPI 1093767196
Obstetrics & Gynecology in Salt Lake City, UT
About Dr. Shannon L Tilly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON L TILLY MD (NPI 1093767196) is an individual obstetrics & gynecology provider in Salt Lake City, Utah, licensed in Utah (54125001205) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Shannon L Tilly 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84119
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 Tilly's NPI number?
The NPI number for Shannon Tilly is 1093767196. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is Shannon Tilly located?
Shannon Tilly practices at 1525 W 2100 S, Salt Lake City, UT 84119. The listed phone number is (801) 213-9900.
What is Shannon Tilly's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Shannon Tilly enrolled in Medicare?
Yes. Shannon Tilly 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.
What insurance does Shannon Tilly accept?
Health plans from Select Health list Shannon Tilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Tilly was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Shannon L Tilly, MD · NPI 1093767196
Obstetrics & Gynecology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1093767196 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 54125001205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1525 W 2100 S, Salt Lake City, UT 84119-1401
- **Phone:** (801) 213-9900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2002
## Record status
- **NPPES last updated:** August 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1093767196) · Data from the CMS NPPES public registry.