SHELLY SHALLAT
NPI 1184706988
Pediatrics in Washington, IL

Q: What is Shelly Shallat's NPI number?

The NPI number for Shelly Shallat is 1184706988. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Shelly Shallat's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Shallat was last updated on November 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 20, 2006PECOS Enrolled

10 SAINT CLARE CT, WASHINGTON, IL 61571(309) 886-4000(309) 886-4118 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shelly Shallat NPPES

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

SHELLY SHALLAT (NPI 1184706988) is an individual pediatrics provider in Washington, Illinois, licensed in Illinois (036-101025) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184706988

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHELLY SHALLAT

Location Address10 SAINT CLARE CTWashington, IL 61571-9239

Mailing Address320 E Armstrong AvePeoria, IL 61603-3172 · (309) 680-7600 · Fax (309) 495-8614

Phone(309) 886-4000

Fax(309) 886-4118

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateNovember 11, 2015

✔ NPI 1184706988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-101025

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10 SAINT CLARE CT, Washington, IL 61571

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Other Identifiers 6

Medicaid036101025IL

Other07223454IL · Blue Cross

Medicare UPINI27792

Medicare ID-Type UnspecifiedK16654IL · Individual #

Medicare ID-Type Unspecified207594IL · Group #

OtherIL20810IL · Beech Street

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Shallat 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 61571 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNESSA A ALONSO D.O.

Pediatrics