DR. DANE JEFFREY SHEPHERD D.O.
NPI 1891831483
General Practice in Chicago, IL

Q: What is Dane Shepherd's NPI number?

The NPI number for Dane Shepherd is 1891831483. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Dane Shepherd's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Dane Shepherd enrolled in Medicare?

No. Dane Shepherd has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dane Shepherd was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 30, 2007Opted out of Medicare · through Jan 1, 2028

17 N WABASH AVE STE 678, CHICAGO, IL 60602(312) 782-9153 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2019, Aug 5, 2019 (2 updates tracked since 2019).

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About Dr. Dane Jeffrey Shepherd D.o. NPPES

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

DR. DANE JEFFREY SHEPHERD D.O. (NPI 1891831483) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036.056894) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1891831483

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. DANE JEFFREY SHEPHERDCredential: D.O.

Location Address17 N WABASH AVE STE 678Chicago, IL 60602

Mailing Address930 Hassell RdHoffman Estates, IL 60169-2602 · (312) 782-9153

Phone(312) 782-9153

Sole ProprietorYes

Enumeration DateJanuary 30, 2007

Last NPPES UpdateAugust 12, 20192 updates tracked since enumeration

✔ NPI 1891831483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IL · 036.056894

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

17 N WABASH AVE STE 678, Chicago, IL 60602

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Secondary Practice Location 1

Location 117 N Wabash Ave Ste 678Chicago, IL 60602 · Phone (312) 782-9153

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dane Jeffrey Shepherd D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

OSTEOPATHY CHICAGO, LTD.

General Practice

17 N WABASH AVE STE 678
CHICAGO, IL 60602

Cook County (312) 782-9153

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 Dane Shepherd's NPI number?

The NPI number for Dane Shepherd is 1891831483. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Dane Shepherd located?

Dane Shepherd practices at 17 N Wabash Ave Ste 678, Chicago, IL 60602. The listed phone number is (312) 782-9153.

What is Dane Shepherd's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dane Shepherd enrolled in Medicare?

No. Dane Shepherd has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dane Shepherd was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.