SHALAKO LEE DENISON M.D.
NPI 1104111772
Emergency Medicine in Chicago, IL
About Shalako Lee Denison M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALAKO LEE DENISON M.D. (NPI 1104111772) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125059639) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shalako Lee Denison M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shalako Denison reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waukegan, IL 60085
- Reassigned Medicare billing, Illinois enrollment
- 91 clinicians in this Medicare group
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Ft Collins, CO 80524
- Reassigned Medicare billing, Colorado enrollment
- 118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 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.
CHICAG, IL 60612
CHICAGO, IL 60612
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 Shalako Denison's NPI number?
The NPI number for Shalako Denison is 1104111772. It was assigned to this individual provider in the NPPES registry on June 12, 2011.
Where is Shalako Denison located?
Shalako Denison practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6000.
What is Shalako Denison's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shalako Denison enrolled in Medicare?
Yes. Shalako Denison 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.
Which organizations bill Medicare for Shalako Denison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shalako Denison reassigns Medicare benefits to 3 organizations: App Of Illinois Ed PLLC (Waukegan, IL), Rockford Health Physicians (Rockford, IL) and Emergency Physicians Of The Rockies, PC (Ft Collins, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shalako Denison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shalako Denison was last updated on April 22, 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.
# Shalako Lee Denison, M.D. · NPI 1104111772
Emergency Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 12, 2011.
## Identity
- **NPI:** 1104111772 (Entity type: Individual)
- **Enumerated:** June 12, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 125059639 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 W HARRISON ST, Chicago, IL 60612-3714
- **Phone:** (312) 864-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): App Of Illinois Ed PLLC (NPI 1053860080, Waukegan, IL); Rockford Health Physicians (NPI 1043242886, Rockford, IL); Emergency Physicians Of The Rockies, PC (NPI 1174570717, Ft Collins, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** April 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104111772) · Data from the CMS NPPES public registry.