MARK R SHELLY DPM
NPI 1902922149
Podiatrist - Foot & Ankle Surgery in Encino, CA

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
17609 VENTURA BLVD, STE 210, ENCINO, CA 91316(818) 708-7668(818) 708-9668 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2017, Jul 11, 2016 (2 updates tracked since 2016).

About Mark R Shelly Dpm NPPES

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

MARK R SHELLY DPM (NPI 1902922149) is an individual foot & ankle surgery provider in Encino, California, licensed in California (E3427) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1985).

NPPES Registry Identity

NPI1902922149
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMARK R SHELLYCredential: DPM
Location Address17609 VENTURA BLVD, STE 210Encino, CA 91316-5123
Mailing Address13652 Cantara StPanorama City, CA 91402-5423 · (818) 375-2000
Fax(818) 708-9668
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1985
Enumeration DateMarch 21, 2007
Last NPPES UpdateFebruary 14, 20172 updates tracked since enumeration
NPI 1902922149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E3427
17609 VENTURA BLVD, Encino, CA 91316

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

Mark R Shelly Dpm 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 ID5597714519
PECOS Enrollment IDI20050118000189
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 18

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
4,707 services1,537 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.
4,448 services1,236 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
2,778 services1,253 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
1,762 services1,116 patients
Biopsy of fingernail or toenail 11755
A biopsy of a fingernail or toenail is a medical procedure where a small piece of your nail or the tissue under it is removed for testing. This can help diagnose conditions like infections or skin diseases. The area is numbed for your comfort during the process.
1,619 services1,310 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
1,135 services929 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Specialist/Technologist (Athletic Trainer)
17609 VENTURA BLVD, 106B
ENCINO, CA 91316
Occupational Therapist
17609 VENTURA BLVD, SUITE 215
ENCINO, CA 91316
Behavior Analyst
17609 VENTURA BLVD, ST. 215
ENCINO, CA 91316
Speech-Language Pathologist
17609 VENTURA BLVD, 215
ENCINO, CA 91316
Behavior Analyst
17609 VENTURA BLVD, SUITE 215
ENCINO, CA 91316
Behavior Analyst
17609 VENTURA BLVD, SUITE 215
ENCINO, CA 91316
Occupational Therapist
17609 VENTURA BLVD
ENCINO, CA 91316
Speech-Language Pathologist
17609 VENTURA BLVD, 215
ENCINO, CA 91316

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 Mark Shelly's NPI number?

The NPI number for Mark Shelly is 1902922149. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Mark Shelly located?

Mark Shelly practices at 17609 Ventura Blvd Ste 210, Encino, CA 91316. The listed phone number is (818) 708-7668.

What is Mark Shelly's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mark Shelly enrolled in Medicare?

Yes. Mark Shelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Shelly was last updated on February 14, 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.