DR. PETRO SHAFRANYUK (MD) – Hospitalist Physician, NPI 1669114773

DR. PETRO SHAFRANYUK (MD) is a healthcare provider. based in Sandwich, Illinois. specializing in INTERNAL MEDICINE, HOSPITALIST, INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 01096528A (IN). The NPI Number for DR. PETRO SHAFRANYUK (MD) is 1669114773

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETRO SHAFRANYUK (MD)
NPI
1669114773
Phone
(815) 786-8484
Address
1302 N Main St
Enumeration Date
9 April 2022
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157561521
Graduation Year
2005 (21 years ago)
PAC ID
1254712680
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20250717001840
Address ID
IL601159602DE1XXXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:4State licenses:2Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. PETRO SHAFRANYUK (MD)

  • 1302 N Main St

    Sandwich, IL 605482587

    Phone: (815) 786-8484

    Fax: (815) 981-7356

    Type: Location

  • 2903 GYPSUM CIR

    NAPERVILLE, IL 605644852

    Phone: (312) 257-9080

    Type: Mailing

  • 20201 CRAWFORD AVE

    OLYMPIA FIELDS, IL 604611010

    Phone: (708) 227-3537

    Type: Location

  • 1 KISH HOSPITAL DR

    DEKALB, IL 601159602

    Phone: (815) 756-1521

    Fax: (815) 748-5789

    Type: Mailing

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: 2025-08-11

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
I20250717001840IHospitalistILTBD
I20250811002642IInternal MedicineINTBD

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 60548)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for DR. PETRO SHAFRANYUK (MD)?
Save NPI 1669114773 if you need a stable reference for DR. PETRO SHAFRANYUK (MD).
Is DR. PETRO SHAFRANYUK (MD) currently active in the NPI registry?
CMS-published data lists DR. PETRO SHAFRANYUK (MD) as an active registrant.
Does DR. PETRO SHAFRANYUK (MD) list a primary specialty?
If you are matching referrals, note Hospitalist Physician for DR. PETRO SHAFRANYUK (MD). Clinical services aligned with this taxonomy classification.
Where is DR. PETRO SHAFRANYUK (MD)'s primary listing?
We display Sandwich, Illinois because that is what the record indicates for DR. PETRO SHAFRANYUK (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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