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DR. CHASE WALTER SHUTAK MD, MPH
NPI 1811332844
Pediatrics in Minneapolis, MN

Active since May 03, 2013PECOS Enrolled
2530 CHICAGO AVE STE 309, MINNEAPOLIS, MN 55404(612) 813-6107 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Chase Walter Shutak Md, Mph NPPES

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

DR. CHASE WALTER SHUTAK MD, MPH (NPI 1811332844) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (60339) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2012).

NPPES Registry Identity

NPI1811332844
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CHASE WALTER SHUTAKCredential: MD, MPH
Location Address2530 CHICAGO AVE STE 309Minneapolis, MN 55404-4289
Mailing Address2530 Chicago Ave Ste 390Minneapolis, MN 55404-4289 · (612) 813-6107
Phone(612) 813-6107
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2012
Enumeration DateMay 3, 2013
Last NPPES UpdateMay 4, 2017
✔ NPI 1811332844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 60339
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.
2530 CHICAGO AVE STE 309, Minneapolis, MN 55404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chase Walter Shutak Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870899198
PECOS Enrollment IDI20170103000413
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

3

Medicare enrollment records show Chase Shutak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Health Care
Same address
Pediatric Cardiology
2525 CHICAGO AVENUE SOUTH
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 551 clinicians in this Medicare group
NPI 1841738952 (612) 813-6000
Hennepin Healthcare System, Inc
1.0 mi
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1962914333 (612) 617-4600
Fairview Health Services
1.4 mi
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Chase Shutak's NPI number?

The NPI number for Chase Shutak is 1811332844. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Chase Shutak located?

Chase Shutak practices at 2530 Chicago Ave Ste 309, Minneapolis, MN 55404. The listed phone number is (612) 813-6107.

What is Chase Shutak's specialty?

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

Is Chase Shutak enrolled in Medicare?

Yes. Chase Shutak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chase Shutak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chase Shutak reassigns Medicare benefits to 3 organizations: Children's Health Care (Minneapolis, MN), Hennepin Healthcare System, Inc (Minneapolis, MN) and Fairview Health Services (Minneapolis, MN). 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 Chase Shutak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chase Shutak accept?

Health plans from HealthPartners list Chase Shutak 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 Chase Shutak was last updated on May 4, 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.