DR. SHANNON EILEEN STALEY M.D.
NPI 1962738856
Pediatrics in Chicago, IL

Q: What is Shannon Staley's NPI number?

The NPI number for Shannon Staley is 1962738856. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Q: What is Shannon Staley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Staley was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 27, 2009PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shannon Eileen Staley M.d. NPPES

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

DR. SHANNON EILEEN STALEY M.D. (NPI 1962738856) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125056477) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962738856

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SHANNON EILEEN STALEYCredential: M.D.

Location Address5841 S MARYLAND AVEChicago, IL 60637-1447

Mailing Address1727 N Hermitage Ave, Apt #2Chicago, IL 60622-1411 · (708) 363-1328

Phone(773) 702-1000

Sole ProprietorYes

Enumeration DateOctober 27, 2009

Last NPPES UpdateDecember 29, 2021

NPPES CertifiedDecember 29, 2021

✔ NPI 1962738856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125056477

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5841 S MARYLAND AVE, Chicago, IL 60637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Eileen Staley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

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