DR. CAROLYN F SHELAK MD, PHD
NPI 1972649283
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Q: What is Carolyn Shelak's NPI number?

The NPI number for Carolyn Shelak is 1972649283. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Carolyn Shelak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Shelak was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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, 2007PECOS Enrolled

2801 N GANTENBEIN AVE, LEGACY EMANUEL CHILDREN'S HOSPITAL, PORTLAND, OR 97227(503) 413-3540 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Carolyn F Shelak Md, Phd NPPES

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

DR. CAROLYN F SHELAK MD, PHD (NPI 1972649283) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (MD29218) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972649283

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. CAROLYN F SHELAKCredential: MD, PHD

Location Address2801 N GANTENBEIN AVE, LEGACY EMANUEL CHILDREN'S HOSPITALPortland, OR 97227-1623

Mailing Address2801 N Gantenbein AvenuePortland, OR 97225 · (503) 413-3540

Phone(503) 413-3540

Sole ProprietorNo

Enumeration DateJanuary 30, 2007

Last NPPES UpdateMarch 15, 2011

✔ NPI 1972649283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in OR · MD29218

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2801 N GANTENBEIN AVE, Portland, OR 97227

Open in Google Maps ↗

Other Identifiers 1

Medicare PINR156355

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. Carolyn F Shelak Md, Phd 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.

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.

KARI MAGNUSSEN MS

Genetic Counselor, MS