DR. SHEILA DOWNEY BALLINTINE M.D.
NPI 1467794859
Internal Medicine in Chicago, IL

Q: What is Sheila Ballintine's NPI number?

The NPI number for Sheila Ballintine is 1467794859. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Q: What is Sheila Ballintine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheila Ballintine was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 23, 2013PECOS EnrolledAccepts Medicare Assignment

200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604(312) 922-3815(312) 922-7449 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Sheila Downey Ballintine M.d. NPPES

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

DR. SHEILA DOWNEY BALLINTINE M.D. (NPI 1467794859) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-140499) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467794859

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHEILA DOWNEY BALLINTINECredential: M.D.

Location Address200 S MICHIGAN AVE, SUITE 805Chicago, IL 60604-2402

Mailing Address200 S Michigan Ave, Suite 805Chicago, IL 60604-2402 · (312) 922-3815 · Fax (312) 922-7449

Phone(312) 922-3815

Fax(312) 922-7449

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 23, 2013

Last NPPES UpdateFebruary 9, 2017

✔ NPI 1467794859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036-140499

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 S MICHIGAN AVE, Chicago, IL 60604

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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

Dr. Sheila Downey Ballintine 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.

PECOS PAC ID5193016731

PECOS Enrollment IDI20160629000256

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.

Medicare Billing Reassignments

Medicare enrollment records show Sheila Ballintine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sheila D Ballintine MD Sc

Same address

Internal Medicine

200 S MICHIGAN AVE STE 1400
Chicago, IL 60604

Reassigned Medicare billing, Illinois enrollment

NPI 1902750995 (312) 922-3815

Michigan Avenue Internists

Internal Medicine

200 S MICHIGAN AVE, SUITE 805
Chicago, IL 60604

Reassigned Medicare billing, Illinois enrollment
14 clinicians in this Medicare group

NPI 1922066588 (312) 922-3815

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 14

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

166 services166 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

149 services99 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

131 services122 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

67 services61 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

31 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

24 services18 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

24 services24 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

23 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services12 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

17 services17 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

16 services15 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

14 services14 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140062

Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County

Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers13 claims13 services$49.06 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier20 claims20 services$27.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ELAINE LEBOFF-RIES M.D.

Internal Medicine

200 S MICHIGAN AVE, SUITE 805
CHICAGO, IL 60604

Cook County (312) 922-3815

GOLDSTEIN NEUROPSYCHOLOGISTS PC

Clinical Neuropsychologist

200 S MICHIGAN AVE, SUITE 710
CHICAGO, IL 60604

Cook County (312) 212-1776

TERENCE P SULLIVAN MD

Internal Medicine

200 S MICHIGAN AVE, STE 830
CHICAGO, IL 60604

Cook County (312) 922-2500

STEVEN J. DEANGELES, M.D., S.C.

Internal Medicine

200 S MICHIGAN AVE, SUITE 830
CHICAGO, IL 60604

Cook County (312) 922-2500

DR. ANGELO ANDREW COSTAS M.D.

Internal Medicine

200 S MICHIGAN AVE, SUITE 805
CHICAGO, IL 60604

Cook County (312) 922-3815

DR. WENDY CAROLYN GOODALL MCDONALD MD

Obstetrics & Gynecology

200 S MICHIGAN AVE, SUITE 1550
CHICAGO, IL 60604

Cook County (312) 263-5517

DR. GREG DONALD EWERT M.D.

Internal Medicine

200 S MICHIGAN AVE, SUTIE 805
CHICAGO, IL 60604

Cook County (312) 922-3815

DR. THERESA WANG D.D.S.

Dentist

200 S MICHIGAN AVE, SUITE 1400
CHICAGO, IL 60604

Cook County (312) 939-8990

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 Sheila Ballintine's NPI number?

The NPI number for Sheila Ballintine is 1467794859. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Where is Sheila Ballintine located?

Sheila Ballintine practices at 200 S Michigan Ave Suite 805, Chicago, IL 60604. The listed phone number is (312) 922-3815.

What is Sheila Ballintine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheila Ballintine enrolled in Medicare?

Yes. Sheila Ballintine 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 Sheila Ballintine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Ballintine reassigns Medicare benefits to 2 organizations: Sheila D Ballintine MD Sc (Chicago, IL) and Michigan Avenue Internists (Chicago, IL). 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 Sheila Ballintine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sheila Ballintine affiliated with any hospitals?

According to CMS data, Sheila Ballintine is affiliated with Palos Community Hospital, Northwestern Lake Forest Hospital, Advocate Illinois Masonic Medical Center, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Ballintine was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.