DR. SHELLY MANN (MD) – Pediatrics Physician, NPI 1194719211
Pediatrics Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,159 PEDIATRIC MEDICINE in IL
Provider Addresses for DR. SHELLY MANN (MD)
1170 E BELVEDERE RD #106
GRAYSLAKE, IL 60030
Phone: (847) 548-7337
Fax: (847) 548-9909
Type: Mailing
1170 E BELVIDERE RD STE 106
GRAYSLAKE, IL 600302076
Phone: (847) 548-7337
Fax: (847) 548-9909
Type: Mailing
1441 Branding Ave Ste 310
Downers Grove, IL 605155624
Phone: (708) 634-0950
Fax: (708) 634-0942
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: 2026-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250925002808 | I | Pediatric Medicine | IL | TBD |
| I20260129002092 | I | Pediatric Medicine | WI | TBD |
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.
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 60030)
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