Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184706988 Individual Practitioner Female Practitioner

Shelly Shallat

Pediatrics • Washington, IL

Professional Overview & Biography Verified Profile Summary

Shelly Shallat is a registered healthcare professional specializing in Pediatrics in Washington, IL. Practice services are available at 10 SAINT CLARE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Saint Clare Ct

Washington, IL 615719239

Telephone 3098864000
Fax 3098864118
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1861472151

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Washington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Washington, IL (3277 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036-101025

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036101025 (IL)
Commercial Insurance / Payer ID Blue Cross
07223454 (IL)
Commercial Insurance / Payer ID Beech Street
IL20810 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Jon Byler

Pediatrics

NPI 1093897985
Dr. Leah Embree , MD

Family Medicine

NPI 1124406145

Doctor of Medicine (M.D.)

Jessica Garceau , APN

Nurse Practitioner - Gerontology

NPI 1194161992

Advanced Practice Nurse

Katherine Engelke , APN

Nurse Practitioner

NPI 1194197186

Advanced Practice Nurse

Gail Goeppinger

Nurse Practitioner

NPI 1366524233
Matthew Gorman

Internal Medicine

NPI 1427130392

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2015

Registered at 10 SAINT CLARE CT, WASHINGTON, IL 615719239 (Tel: 3098864000)

📍
Updated Business Mailing Address November 11, 2015

Registered at 320 E ARMSTRONG AVE, PEORIA, IL 616033172 (Tel: 3096807600)

👤
Provider Name / Credentials Updated November 11, 2015

Recorded as SHELLY SHALLAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Pediatrics (License #036-101025 in IL)

🟢
Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184706988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: November 11, 2015
Sole Proprietor: No

Mailing Address

320 E Armstrong Ave

Peoria, IL 616033172

Phone: 3096807600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.