JOHN A SHANLEY (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1003955618

JOHN A SHANLEY (M.D.) is a healthcare provider. based in Brentwood, Tennessee. specializing in CRITICAL CARE (INTENSIVISTS), EMERGENCY MEDICINE, PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036112847 (IL). The NPI Number for JOHN A SHANLEY (M.D.) is 1003955618

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JOHN A SHANLEY (M.D.)
NPI
1003955618
Phone
(888) 646-7763
Address
5410 MARYLAND WAY STE 300
Enumeration Date
6 February 2007
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
4587671672
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20060315000022
Address ID
IL602011700EV2650XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

957 CRITICAL CARE (INTENSIVISTS) in IL

Provider Addresses for JOHN A SHANLEY (M.D.)

  • 5410 MARYLAND WAY STE 300

    BRENTWOOD, TN 370275339

    Phone: (888) 646-7763

    Fax: (866) 344-3934

    Type: Mailing

  • 2650 RIDGE AVE

    EVANSTON, IL 602011700

    Phone: (888) 646-7763

    Fax: (866) 344-3934

    Type: Mailing

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (888) 646-7763

    Fax: (866) 344-3934

    Type: Mailing

  • 800 W CENTRAL RD

    ARLINGTON HEIGHTS, IL 600052349

    Phone: (847) 618-4177

    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 $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: ABIOMED ($120).

Total Amount

$120

General + Research + Ownership

Payments

1

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$120
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: 2006-03-15

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
I20060315000022ICritical Care (Intensivists)ILTBD

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
99291Critical care, first 30-74 minutes294165$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7060$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1616$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 37027)

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Provider's Procedures

JOHN A SHANLEY (M.D.) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)IL31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope2726
CRITICAL CARE (INTENSIVISTS)IL36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1414

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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

How do I look up JOHN A SHANLEY (M.D.) by NPI?
Use NPI 1003955618 when you need to reference JOHN A SHANLEY (M.D.) in forms, claims, or directories.
Is JOHN A SHANLEY (M.D.) active in the national directory?
JOHN A SHANLEY (M.D.)'s public NPI profile is in an active state.
Can you summarize JOHN A SHANLEY (M.D.)'s specialty in plain language?
Clinically, the directory lists JOHN A SHANLEY (M.D.) with Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN A SHANLEY (M.D.)'s primary listing?
We display Brentwood, Tennessee because that is what the record indicates for JOHN A SHANLEY (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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