WILLIAM WALTER SHELY III MD
NPI 1215920236
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Salem, OR
About William Walter Shely Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM WALTER SHELY III MD (NPI 1215920236) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Salem, Oregon, licensed in Oregon (MD14793) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Rush Medical College Of Rush University (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
William Walter Shely Iii 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.
Medicare Billing Reassignment
Medicare enrollment records show William Shely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97317
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97301 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.
SALEM, OR 97301
SALEM, OR 97301
SALEM, OR 97301
SALEM, OR 97301
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 William Shely's NPI number?
The NPI number for William Shely is 1215920236. It was assigned to this individual provider in the NPPES registry on August 24, 2005.
Where is William Shely located?
William Shely practices at 875 Oak St SE Suite 5020, Salem, OR 97301. The listed phone number is (503) 371-4044.
What is William Shely's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is William Shely enrolled in Medicare?
Yes. William Shely 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 organization bills Medicare for William Shely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Shely reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). The 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 William Shely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is William Shely affiliated with any hospitals?
According to CMS data, William Shely is affiliated with Kaiser Sunnyside Medical Center.
When was this NPI record last updated?
The NPPES record for William Shely was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# William Walter Shely III, MD · NPI 1215920236
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since August 24, 2005.
## Identity
- **NPI:** 1215920236 (Entity type: Individual)
- **Enumerated:** August 24, 2005
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** MD14793 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 875 OAK ST SE, SUITE 5020, Salem, OR 97301-3975
- **Phone:** (503) 371-4044 · **Fax:** (503) 371-4356
## 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:** South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 1985
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 8178899 (WA); Medicaid 073705 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1215920236) · Data from the CMS NPPES public registry.