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JOHN SHALLAT
NPI 1942381306
Internal Medicine in Peoria, IL

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
200 E PENNSYLVANIA AVE, PEORIA, IL 61603(309) 655-7990(309) 655-7953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Shallat NPPES

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

JOHN SHALLAT (NPI 1942381306) is an individual internal medicine provider in Peoria, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).

NPPES Registry Identity

NPI1942381306
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN SHALLAT
Location Address200 E PENNSYLVANIA AVEPeoria, IL 61603-3089
Mailing Address200 E Pennsylvania AvePeoria, IL 61603-3089 · (309) 655-7990 · Fax (309) 655-7953
Phone(309) 655-7990
Fax(309) 655-7953
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1996
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942381306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 E PENNSYLVANIA AVE, Peoria, IL 61603
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Other Identifiers 4

Medicare UPINH02871
Medicare ID-Type UnspecifiedL16924IL · Individual #
Medicare ID-Type Unspecified809840IL · Group #
Medicare ID-Type UnspecifiedP00266755 / CA4079IL · Rr

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

John Shallat 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 ID7911895065
PECOS Enrollment IDI20040309001109
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers102 claims371 services$5.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers24 claims38 services$0.90 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$32.98 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$16.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims71 services$1.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$17.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DOUGLAS JUVINALL MD
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
DR. CAROLINE MARIE RAYBURN AUD
Audiologist
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
DR. JOHN W HSU MD
Transplant Surgery
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Peoria County (309) 676-8123
DEAN A GRAVLIN M.D.
Internal Medicine
200 E PENNSYLVANIA AVE, STE 105
PEORIA, IL 61603
Peoria County (309) 655-7888
FREDERICK HORVATH MD
Internal Medicine (Nephrology)
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Peoria County (309) 676-8123
MRS. EVANNE M IHNKEN PA-C
Physician Assistant
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
KAVYA MORAVINENI MD
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
LOAN T NGUYEN APN, CNP
Nurse Practitioner
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000

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 John Shallat's NPI number?

The NPI number for John Shallat is 1942381306. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is John Shallat located?

John Shallat practices at 200 E Pennsylvania Ave, Peoria, IL 61603. The listed phone number is (309) 655-7990.

What is John Shallat's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Shallat enrolled in Medicare?

Yes. John Shallat 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.

Is John Shallat affiliated with any hospitals?

According to CMS data, John Shallat is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for John Shallat was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.