NPIMap

Individual provider Active NPI

Shona M Hillman, MD

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1275570699
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME140577 Issued in FL
Practice address
33000 Portofino Cir Apt 110
Palm Beach Gardens, FL 33418-1279
Phone
(773) 367-4150
NPI assigned
Jun 2, 2006
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME140577 FL Primary
Family Medicine Physician 207Q00000X C146051 CA
Family Medicine Physician 207Q00000X 036102783 IL

Addresses

Primary practice location

33000 Portofino Cir Apt 110
Palm Beach Gardens, FL 33418-1279

Mailing address

33000 Portofino Cir Apt 110
Palm Beach Gardens, FL 33418-1279
Phone (773) 367-4150

Other practice location 1

7926 S Komensky Ave
Chicago, IL 60652-2316
Phone (773) 767-1185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040405001202 IL Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Internal Medicine 6204829443 Reassigns benefits to 3 organizations
I20240806001931 MN Practitioner - Family Practice 6204829443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

1216 Ryans Rd
Worthington, MN 56187-1722
Phone (507) 372-2921

1216 Ryans Rd
Worthington, MN 56187-1781
Phone (507) 372-6522

941 County Rd
Suite 9
Heron Lake, MN 56137-1408
Phone (507) 793-2349

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C146051CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inner-City Muslim Action Network Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Avera McKennan CurrentSince Jul 19, 2024 Accepting new patients
Inner-City Muslim Action Network CurrentSince Jun 1, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 1, 2015 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Rural Health Care, Inc Family Medicine Current Accepting new patients
Avera McKennan Family Medicine CurrentSince Jul 19, 2024 Accepting new patients
Universal Healthclinics, SC Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Rural Health Care, Inc. CurrentSince Jun 15, 2024 Accepting new patients
Rural Health Care, Inc CurrentSince Jun 15, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Rajiv Kandala M D S C Family Medicine PastSince Jun 27, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Southside Primary Care Group SC Family Medicine PastSince Feb 11, 2024 Accepting new patients
Toh Inc PastSince Feb 21, 2000 Accepting new patients

Locations

1243 W 79th St
Chicago, IL 60620
Phone (312) 791-2940

2744 W 63rd St
Chicago, IL 60629
Phone (773) 434-4626

2749 W 63rd St
Chicago, IL 60629
Phone (773) 434-4626

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

300 S Bruce St
Ste 100
Marshall, MN 56258

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

Interoperability endpoints

  • Direct secure messaging: shona.hillman.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: shona.hillman@avera.sdhealthlink.net

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1275570699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33000 PORTOFINO CIR APT 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181279",
            "telephone_number": "773-367-4150",
            "fax_number": "681-245-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33000 PORTOFINO CIR APT 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181279",
            "telephone_number": "773-367-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7926 S Komensky Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606522316",
            "country_code": "US",
            "telephone_number": "773-767-1185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "SHONA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME140577",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C146051",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036102783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.