JOHN JR. SHELLITO (MD) – Surgery Physician, NPI 1720019151

JOHN JR. SHELLITO (MD) is a healthcare provider. based in Wichita, Kansas. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 20502 (KS). The NPI Number for JOHN JR. SHELLITO (MD) is 1720019151

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JR. SHELLITO (MD)
NPI
1720019151
Phone
(316) 689-9135
Address
PO BOX 8035
Enumeration Date
5 July 2006
Last Update Date
6 February 2015

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3166899349
Graduation Year
1978 (48 years ago)
PAC ID
9032158217
Group Practice PAC ID
2961314497
Professional Enrollment ID
I20050427000684
Address ID
KS672083054WI3311XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in KS

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Provider Addresses for JOHN JR. SHELLITO (MD)

  • Wichita Post Office, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States

    WICHITA, KS 672080035

    Phone: (316) 689-9135

    Fax: (316) 689-9102

    Type: Mailing

  • North Founders Street, Lakeside Acres, Wichita, Sedgwick County, Kansas, 67726, United States

    WICHITA, KS 672063548

    Phone: (316) 689-9124

    Fax: (316) 613-4608

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$35
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: 2005-04-27

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
I20050427000684IGeneral SurgeryKSTBD

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 minutes5537$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers2416$0
93970Ultrasound study of arm or leg veins with compression and maneuvers1818$0
36478Laser destruction of incompetent vein of arm or leg using imaging guidance1514$0
View full utilization report →

Insurance plans in this area (ZIP 67208)

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Provider's Procedures

JOHN JR. SHELLITO (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYKS71250CT scan chest7462
GENERAL SURGERYKS93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1212

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: 2961314497View full group profile
NameSpecialtyState
-KS
Internal Medicine, Cardiovascular Disease (Cardiology)KS
-KS
Nurse PractitionerKS
Qualified AudiologistKS
-KS
Qualified AudiologistKS
Internal MedicineKS
-KS
-KS

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Frequently asked questions

What NPI should I save for JOHN JR. SHELLITO (MD)?
Save NPI 1720019151 if you need a stable reference for JOHN JR. SHELLITO (MD).
Is JOHN JR. SHELLITO (MD) currently active in the NPI registry?
CMS-published data lists JOHN JR. SHELLITO (MD) as an active registrant.
What kind of provider is JOHN JR. SHELLITO (MD)?
The page reflects Surgery Physician for JOHN JR. SHELLITO (MD). Clinical services aligned with this taxonomy classification.
Where is JOHN JR. SHELLITO (MD)'s primary listing?
We display Wichita, Kansas because that is what the record indicates for JOHN JR. SHELLITO (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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