SHAWN DOUGLAS ANTLE (M.D.) – Hospitalist Physician, NPI 1336163922

SHAWN DOUGLAS ANTLE (M.D.) is a healthcare provider. based in Beloit, Wisconsin. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 46666020 (WI). The NPI Number for SHAWN DOUGLAS ANTLE (M.D.) is 1336163922

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN DOUGLAS ANTLE (M.D.)
NPI
1336163922
Phone
(608) 364-2200
Address
BELOIT HEALTH SYSTEM INC.
Enumeration Date
27 July 2006
Last Update Date
28 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208877181
Graduation Year
1990 (36 years ago)
PAC ID
0840273819
Group Practice PAC ID
2567370539
Professional Enrollment ID
I20040610000913
Address ID
WI539163027BE707XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

117 GERIATRIC MEDICINE in WI

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Provider Addresses for SHAWN DOUGLAS ANTLE (M.D.)

  • BELOIT HEALTH SYSTEM INC.

    1905 E. HUEBBE PARKWAY

    BELOIT, WI 535111842

    Phone: (608) 364-2200

    Fax: (608) 363-7395

    Type: Mailing

  • Beloit Memorial Hospital, 1969, West Hart Road, City of Beloit, Rock County, Wisconsin, 53511, United States

    1969 W. HART ROAD

    BELOIT, WI 535112230

    Phone: (608) 363-5971

    Fax: (608) 363-5737

    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: 2004-06-10

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
I20040610000913IGeriatric MedicineWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes174103$0
99239Hospital discharge day management, more than 30 minutes138123$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5048$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4922$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4736$0
View full utilization report →

Insurance plans in this area (ZIP 53511)

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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: 2567370539View full group profile
NameSpecialtyState
Internal MedicineUT
Certified Registered Nurse Anesthetist (Crna)WI
Interventional Cardiology, Cardiovascular Disease (Cardiology)WI
-IA
Orthopedic SurgeryWI
-WI
Infectious Disease, Internal MedicineWI
Physician AssistantWI
Family PracticeWI
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

Is there an official ID for SHAWN DOUGLAS ANTLE (M.D.) in U.S. healthcare records?
The official identifier for SHAWN DOUGLAS ANTLE (M.D.) is NPI 1336163922.
Active or inactive — what applies to SHAWN DOUGLAS ANTLE (M.D.)?
You should see SHAWN DOUGLAS ANTLE (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe SHAWN DOUGLAS ANTLE (M.D.)'s focus?
For SHAWN DOUGLAS ANTLE (M.D.), the primary taxonomy reads as Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is SHAWN DOUGLAS ANTLE (M.D.) associated with Beloit?
Public fields place SHAWN DOUGLAS ANTLE (M.D.) around Beloit, Wisconsin. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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