Individual provider Active NPI

Samuel A Shelanski, MD

  • Medical Oncology Physician
  • Loveland, CO
National Provider Identifier
1295713899
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
43222 Issued in CO
Practice address
2000 N Boise Ave
Loveland, CO 80538
Phone
(970) 810-3894
Fax
(970) 810-3897
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 43222 CO
Medical Oncology Physician 207RX0202X 43222 CO Primary

Addresses

Primary practice location

2000 N Boise Ave
Loveland, CO 80538

Mailing address

2000 N Boise Ave
Loveland, CO 80538
Phone (970) 810-3894

Other identifiers 2

IdentifierTypeStateIssuer
P00944847OtherCOMEDICARE RAILROAD CARRIER PTAN
60489766MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000558 CO Practitioner - Medical OncologyPractitioner - Hospice/Palliative Care 2163483652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hospice/Palliative Care
Education
Columbia University College of Physicians and Surgeons, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43222COMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Pacific Oncology PC Hematology & Oncology Past Accepting new patients
Northwest Cancer Specialists PC Hematology & Oncology PastSince Jul 23, 2023 Accepting new patients
Banner Medical Group Greeley LLC Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1800 15th St
Ste A
Greeley, CO 80631
Phone (970) 353-6722

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

2050 Boise Ave
Unit B
Loveland, CO 80538
Phone (970) 679-8900

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Organizations & group practices 5

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1295713899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELANSKI",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "43222",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CO",
            "license": "43222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER PTAN",
            "identifier": "P00944847",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60489766",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.