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DR. SHALLON TORE CRADDOCK M.D., M.P.H.
NPI 1700088846
Pediatrics in Hilo, HI

Active since June 01, 2007PECOS Enrolled
199 ULULANI ST, HILO, HI 96720(808) 315-1886(808) 935-9259 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 21, 2025, Mar 12, 2025, Mar 7, 2023 (3 updates tracked since 2023).

About Dr. Shallon Tore Craddock M.d., M.p.h. NPPES

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

DR. SHALLON TORE CRADDOCK M.D., M.P.H. (NPI 1700088846) is an individual pediatrics provider in Hilo, Hawaii, licensed in Hawaii (17956) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Downers Grove.

NPPES Registry Identity

NPI1700088846
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHALLON TORE CRADDOCKCredential: M.D., M.P.H.
Location Address199 ULULANI STHilo, HI 96720-2930
Mailing Address2250 Kaumana DrHilo, HI 96720-1316 · (808) 315-1519 · Fax (808) 935-9259
Phone(808) 315-1886
Fax(808) 935-9259
Sole ProprietorNo
Enumeration DateJune 1, 2007
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1700088846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in HI · 17956✔ Licensed in AK · 7298✔ Licensed in IL · 036172973
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.
199 ULULANI ST, Hilo, HI 96720
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Secondary Practice Location 1

Location 11441 Branding AveDowners Grove, IL 60515-1160 · Phone (708) 634-0950 · Fax (708) 634-0942

Other Identifiers 2

Medicaid1574708AK
Medicaid100306322WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of NC, CareSource (Common Ground Healthcare) 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 (PECOS)

Dr. Shallon Tore Craddock M.d., M.p.h. 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 96720 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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 2

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

DR. JESSICA GULASKEY OD
Optometrist
199 ULULANI ST
HILO, HI 96720
Hawaii County (808) 935-2964
SUNSHINE PEDIATRIC CLINIC
Clinic/Center (Primary Care)
199 ULULANI ST
HILO, HI 96720
Hawaii County (808) 315-1886

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 Shallon Craddock's NPI number?

The NPI number for Shallon Craddock is 1700088846. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Shallon Craddock located?

Shallon Craddock practices at 199 Ululani St, Hilo, HI 96720. The listed phone number is (808) 315-1886.

What is Shallon Craddock's specialty?

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

Is Shallon Craddock enrolled in Medicare?

Yes. Shallon Craddock is registered in the Medicare PECOS enrollment system.

What insurance does Shallon Craddock accept?

Health plans from AvMed, Blue Cross and Blue Shield of NC, CareSource (Common Ground Healthcare), Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Shallon Craddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shallon Craddock was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.