DR. NICK MELVIN SHILLINGFORD M.D
NPI 1346404969
Pathology - Pediatric Pathology in Los Angeles, CA

Q: What is Nick Shillingford's NPI number?

The NPI number for Nick Shillingford is 1346404969. It was assigned to this individual provider in the NPPES registry on July 13, 2008.

Q: What is Nick Shillingford's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Q: When was this NPI record last updated?

The NPPES record for Nick Shillingford was last updated on July 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2008PECOS Enrolled

4650 W SUNSET BLVD, MS # 43, LOS ANGELES, CA 90027(323) 361-5917(323) 361-1087 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Nick Melvin Shillingford M.d NPPES

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

DR. NICK MELVIN SHILLINGFORD M.D (NPI 1346404969) is an individual pediatric pathology provider in Los Angeles, California, licensed in California (A125802) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1346404969

Entity TypeIndividualMale

Primary Taxonomy207ZP0213X

Provider Legal NameDR. NICK MELVIN SHILLINGFORDCredential: M.D

Location Address4650 W SUNSET BLVD, MS # 43Los Angeles, CA 90027

Mailing Address19024 110th RdSaint Albans, NY 11412-2002 · (646) 719-3703

Phone(323) 361-5917

Fax(323) 361-1087

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 13, 2008

Last NPPES UpdateJuly 17, 2018

✔ NPI 1346404969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0213X

License✔ Licensed in CA · A125802

Definition

A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.

4650 W SUNSET BLVD, Los Angeles, CA 90027

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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)

Dr. Nick Melvin Shillingford M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779714886

PECOS Enrollment IDI20140402001040

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 90027 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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