Active NPI
John H Shelso, MD
- Pediatric Endocrinology Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 3920
- Practice address
- 1600 W 22ND St
Sioux Falls, SD 57105-1521 - Phone
- (605) 312-1000
- Fax
- (605) 312-1001
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 36353 | TN | |
| Pediatric Endocrinology Physician | 2080P0205X | 3920 | SD | Primary |
Addresses
Primary practice location
1600 W 22ND St
Sioux Falls, SD 57105-1521
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440119 | Medicaid | TN | |
| 694544897A | Medicaid | GA | |
| Q36354 | Medicaid | SC | |
| 0082960 | Medicaid | MT | |
| 009992005 | Medicaid | AL | |
| 02604722-03 | Medicaid | NY | |
| 0587857 | Medicaid | IA | |
| 05086744 | Medicaid | MS | |
| 64081276 | Medicaid | KY | |
| 200031050A | Medicaid | OK | |
| 200513750A | Medicaid | IN | |
| 209076900 | Medicaid | MO | |
| 82736863 | Medicaid | NM | |
| 977465 | Medicaid | AZ | |
| 422400000 | Medicaid | ME | |
| 7614234 | Medicaid | NC | |
| 1470945 | Medicaid | LA | |
| 154141001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients |
Locations
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1600 W 22nd St
Sioux Falls, SD 57105
Phone (605) 312-1000
1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Rural Health Clinic/Center
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-
- Diagnostic Radiology Physician
- Fargo, ND
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- Rural Health Clinic/Center
- Mountain Lake, MN
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1164425740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585",
"fax_number": "605-328-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051521",
"telephone_number": "605-312-1000",
"fax_number": "605-312-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELSO",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "TN",
"license": "36353",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "SD",
"license": "3920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440119",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "694544897A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q36354",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082960",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009992005",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02604722-03",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0587857",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05086744",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64081276",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200031050A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200513750A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209076900",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82736863",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "977465",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422400000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7614234",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1470945",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154141001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.