KARLA R SHIVELY D.O.
NPI 1871535450
Family Medicine in Joliet, IL

Active since June 11, 2006
330 MADISON ST, SUITE 104, JOLIET, IL 60435(815) 725-3440(815) 725-7209 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karla R Shively D.o. NPPES

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

KARLA R SHIVELY D.O. (NPI 1871535450) is an individual family medicine provider in Joliet, Illinois, licensed in Illinois (036091518) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1871535450
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARLA R SHIVELYCredential: D.O.
Location Address330 MADISON ST, SUITE 104Joliet, IL 60435-6565
Mailing Address330 Madison St, Suite 104Joliet, IL 60435-6565 · (815) 725-3440 · Fax (815) 725-7209
Fax(815) 725-7209
Sole ProprietorNo
Enumeration DateJune 11, 2006
Last NPPES UpdateJune 23, 2010
NPI 1871535450 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 · 036091518
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.
330 MADISON ST, Joliet, IL 60435

Other Identifiers 4

Medicaid036091518IL
Medicare NSC1932141579IL
Medicare UPING19974
Medicare PINL69643IL

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
69%243 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
4%53 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
30%414 patients2/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%326 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Cardiovascular Disease)
330 MADISON ST, SUITE 201
JOLIET, IL 60435
Internal Medicine (Cardiovascular Disease)
330 MADISON ST, SUITE 201
JOLIET, IL 60435
Family Medicine
330 MADISON ST, STE 103
JOLIET, IL 60435
Family Medicine
330 MADISON ST, SUITE 104
JOLIET, IL 60435
Pharmacy (Community/Retail Pharmacy)
330 MADISON ST, SUITE 102
JOLIET, IL 60435
Nurse Practitioner
330 MADISON ST
JOLIET, IL 60435
Internal Medicine (Pulmonary Disease)
330 MADISON ST, L11
JOLIET, IL 60435
Dentist (General Practice)
330 MADISON ST, SUITE 304
JOLIET, IL 60435

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 Karla Shively's NPI number?

The NPI number for Karla Shively is 1871535450. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Karla Shively located?

Karla Shively practices at 330 Madison St Suite 104, Joliet, IL 60435. The listed phone number is (815) 725-3440.

What is Karla Shively's specialty?

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

When was this NPI record last updated?

The NPPES record for Karla Shively was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.