ANDREW JOHN SHADRACH MD
NPI 1467956169
Family Medicine in Peoria, IL

Q: What is Andrew Shadrach's NPI number?

The NPI number for Andrew Shadrach is 1467956169. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Q: What is Andrew Shadrach's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Shadrach was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 19, 2018PECOS EnrolledAccepts Medicare Assignment

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 14, 2021, Mar 19, 2018 (2 updates tracked since 2018).

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About Andrew John Shadrach Md NPPES

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

ANDREW JOHN SHADRACH MD (NPI 1467956169) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036162030) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467956169

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDREW JOHN SHADRACHCredential: MD

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-1003

Mailing Address624 Ne Glen Oak Ave Room 2670Peoria, IL 61637-0001 · (309) 655-3971 · Fax (309) 655-3630

Phone(309) 655-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 19, 2018

Last NPPES UpdateJune 28, 20232 updates tracked since enumeration

NPPES CertifiedJune 28, 2023

✔ NPI 1467956169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036162030

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

530 NE GLEN OAK AVE, Peoria, IL 61637

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew John Shadrach 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.

PECOS PAC ID3072869106

PECOS Enrollment IDI20231003003497

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.

Areas of Expertise CMS Part B claims 6

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.

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.

96 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

61 services26 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.

45 services35 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

16 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230041

Location1900 Columbus AveBay City, MI 48708 · Bay County

Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230080

Location1221 South DriveMount Pleasant, MI 48858 · Isabella County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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 20

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

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics