EDWARD SHLASKO M.D.
NPI 1962417600
Surgery - Pediatric Surgery in Urbana, IL

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

Active since July 30, 2006PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 383-3311(217) 902-7711 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Edward Shlasko M.d. NPPES

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

EDWARD SHLASKO M.D. (NPI 1962417600) is an individual pediatric surgery provider in Urbana, Illinois, licensed in Illinois (036125891) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Columbia University College Of Physicians And Surgeons (1985).

NPPES Registry Identity

NPI1962417600

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameEDWARD SHLASKOCredential: M.D.

Location Address611 W PARK STUrbana, IL 61801-2501

Mailing Address57 W 94th StNew York, NY 10025-7113 · (917) 705-0026

Phone(217) 383-3311

Fax(217) 902-7711

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1985

Enumeration DateJuly 30, 2006

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1962417600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in IL · 036125891✔ Licensed in NY · 167874✔ Licensed in FL · ME113029✔ Licensed in NJ · 25MA08677000

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License 167874 (NY), 036125891 (IL)

611 W PARK ST, Urbana, IL 61801

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Secondary Practice Locations 2

Location 1100 Madison Ave Farris Bldg 3rd FloorMorristown, NJ 07960 · Phone (908) 522-3523 · Fax (908) 522-3525

Location 257 W 94th StNew York, NY 10025-7113 · Phone (917) 705-0026

Other Identifiers 1

Medicaid01440844NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Shlasko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537337472

PECOS Enrollment IDI20250709001392

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.

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.

MRS. BETH ANN LANGFORD CNNP

Nurse Practitioner (Neonatal)