SHALAKO LEE DENISON (M.D.) – Emergency Medicine Physician, NPI 1104111772

SHALAKO LEE DENISON (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 125059639 (IL). The NPI Number for SHALAKO LEE DENISON (M.D.) is 1104111772

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
SHALAKO LEE DENISON (M.D.)
NPI
1104111772
Phone
(248) 318-0212
Address
1635 W HURON ST
Enumeration Date
12 June 2011
Last Update Date
22 April 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9704957000
Graduation Year
2011 (15 years ago)
PAC ID
5991010472
Group Practice PAC ID
0345232492
Professional Enrollment ID
I20210811000278
Address ID
CO805243929FO1024XAVEX404

Contacts

Secure Messaging
shalako.denison@direct.ccprovider.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for SHALAKO LEE DENISON (M.D.)

  • 1635 W HURON ST

    CHICAGO, IL 606225607

    Phone: (248) 318-0212

    Type: Mailing

  • 1901 W HARRISON ST

    CHICAGO, IL 606123714

    Phone: (312) 864-6000

    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: 2021-08-11

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
I20170223001989IEmergency MedicineILTBD
I20210811000278IEmergency MedicineCOTBD

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
99285Emergency department visit with high level of medical decision making6564$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4342$0
99284Emergency department visit with moderate level of medical decision making4040$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 60622)

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Provider's Procedures

SHALAKO LEE DENISON (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report5654

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: 0345232492View full group profile
NameSpecialtyState
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineMA
Nurse PractitionerCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHALAKO LEE DENISON (M.D.)?
SHALAKO LEE DENISON (M.D.) — NPI 1104111772 — is the standard way to identify this listing.
Is SHALAKO LEE DENISON (M.D.) still practicing?
SHALAKO LEE DENISON (M.D.) is currently listed as active in the public NPI registry.
What is SHALAKO LEE DENISON (M.D.)'s specialty?
The listing groups SHALAKO LEE DENISON (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SHALAKO LEE DENISON (M.D.) based?
SHALAKO LEE DENISON (M.D.) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Why does SHALAKO LEE DENISON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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