DR. NATHAN SHANE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1043606247

DR. NATHAN SHANE (D.P.M.) is a healthcare provider. based in Des plaines, Illinois. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 111825 (WI). The NPI Number for DR. NATHAN SHANE (D.P.M.) is 1043606247

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN SHANE (D.P.M.)
NPI
1043606247
Phone
(847) 390-7666
Address
1455 E GOLF RD STE 110
Enumeration Date
14 April 2015
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3307580577
Graduation Year
2015 (11 years ago)
PAC ID
2264744200
Group Practice PAC ID
4587559562
Professional Enrollment ID
I20230717002670
Address ID
OH445124008YO1499XRDXX400

Contacts

Secure Messaging
nshane217150@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:11State licenses:4Other namesUpdated within 12 months

1,038 PODIATRY in IL

Provider Addresses for DR. NATHAN SHANE (D.P.M.)

  • 1455 E GOLF RD STE 110

    DES PLAINES, IL 600161253

    Phone: (847) 390-7666

    Fax: (847) 390-9345

    Type: Location

  • 1695 Niles Cortland Rd NE

    Warren, OH 444841165

    Phone: (330) 758-0577

    Type: Location

  • 8591 CROSSROADS DRIVE

    YOUNGSTOWN, OH 44514

    Phone: (330) 758-0577

    Fax: (330) 758-0466

    Type: Mailing

  • 5050 N CLINTON ST

    FORT WAYNE, IN 468255886

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Mailing

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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Stryker Corporation ($22).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

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: 2023-07-17

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
I20230717002670IPodiatryOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3024$0
73630X-ray of foot, minimum of 3 views2221$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 60016)

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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: 4587559562View full group profile
NameSpecialtyState
Physician AssistantOH
Orthopedic SurgeryOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physician AssistantOH
Physician AssistantOH
P O D I A T R YOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

What federal number belongs to DR. NATHAN SHANE (D.P.M.)?
The federal identifier for DR. NATHAN SHANE (D.P.M.) is NPI 1043606247.
Is DR. NATHAN SHANE (D.P.M.) active in the national directory?
DR. NATHAN SHANE (D.P.M.)'s public NPI profile is in an active state.
Can you summarize DR. NATHAN SHANE (D.P.M.)'s specialty in plain language?
Clinically, the directory lists DR. NATHAN SHANE (D.P.M.) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. NATHAN SHANE (D.P.M.)?
The snapshot lists Des Plaines, Illinois for DR. NATHAN SHANE (D.P.M.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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