JOHN J SHUFELDT (MD) – Emergency Medicine Physician, NPI 1114955440

JOHN J SHUFELDT (MD) is a healthcare provider. based in Littleton, Colorado. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 17236 (AZ). The NPI Number for JOHN J SHUFELDT (MD) is 1114955440

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JOHN J SHUFELDT (MD)
NPI
1114955440
Phone
(303) 759-0854
Address
1241 W MINERAL AVE
Enumeration Date
28 June 2006
Last Update Date
11 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203837285
Graduation Year
1986 (40 years ago)
PAC ID
9638083215
Group Practice PAC ID
5092768663
Professional Enrollment ID
I20160212001096
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN J SHUFELDT (MD)

  • 1241, West Mineral Avenue, Littleton, Arapahoe County, Colorado, 80120, United States

    SUITE 100

    LITTLETON, CO 801205685

    Phone: (303) 759-0854

    Fax: (303) 759-0864

    Type: Mailing

  • Dignity Health St Joseph's Hospital and Medical Center, 350, West Thomas Road, Encanto, Phoenix, Maricopa County, Arizona, 85013, United States

    PHOENIX, AZ 850134409

    Phone: (602) 406-3000

    Fax: (602) 406-7165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040127000647IEmergency MedicineAZTBD
I20160212001096IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092768663View full group profile

Reviews

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Frequently asked questions

Can I cross-check JOHN J SHUFELDT (MD) using NPI 1114955440?
NPI 1114955440 belongs to JOHN J SHUFELDT (MD); compare other details if you need extra assurance.
Is JOHN J SHUFELDT (MD) still an active registrant?
JOHN J SHUFELDT (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for JOHN J SHUFELDT (MD)?
At a glance, JOHN J SHUFELDT (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is JOHN J SHUFELDT (MD) registered?
Use Littleton, Colorado as the headline location for JOHN J SHUFELDT (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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