SHELLY LO (MD) – Hematology & Oncology Physician, NPI 1013994086

SHELLY LO (MD) is a healthcare provider. based in Maywood, Illinois. specializing in HEMATOLOGY/ONCOLOGY, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. 36111532 (IL). The NPI Number for SHELLY LO (MD) is 1013994086

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY LO (MD)
NPI
1013994086
Phone
(708) 216-3304
Address
2160 S 1ST AVE
Enumeration Date
29 December 2005
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129425904
Graduation Year
1997 (29 years ago)
PAC ID
0143299909
Group Practice PAC ID
5496658874
Professional Enrollment ID
I20040928001118
Address ID
IL606073106CH1520XSTXX400
Telehealth
Yes

Contacts

Secure Messaging
slo15369@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

727 HEMATOLOGY/ONCOLOGY in IL

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Provider Addresses for SHELLY LO (MD)

  • South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60141, United States

    LUH - NORTH ENT., RM. 7604

    MAYWOOD, IL 601533328

    Phone: (708) 216-3304

    Fax: (708) 216-1259

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($96).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040928001118IHematology/OncologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes145134$0
99215Established patient office or other outpatient visit, 40-54 minutes8760$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 5496658874View full group profile
NameSpecialtyState
General SurgeryIL
Internal MedicineIL
Diagnostic RadiologyWI
Internal MedicineMI
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerIL
Nurse PractitionerIL
O T O L A R Y N G O L O G YCT
Colorectal Surgery (Proctology), General SurgeryOH

Reviews

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Frequently asked questions

Can I verify SHELLY LO (MD) with an NPI only?
You can start verification with NPI 1013994086 for SHELLY LO (MD), then check state licensing separately.
Can I rely on SHELLY LO (MD) being an active provider?
As of the registry snapshot, SHELLY LO (MD) is marked active.
What is SHELLY LO (MD) best known for clinically?
Directory data describes SHELLY LO (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SHELLY LO (MD)?
SHELLY LO (MD)'s geographic hint is Maywood, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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