David Shelley, MD

Key facts

NPI

1386685535

Entity type

Individual (NPI type 1)

Primary specialty

Vascular & Interventional Radiology Physician 2085R0204X

License

M-10024 (ID)

Practice address

98 Poplar St
Blackfoot, ID 83221-1758

Phone

(208) 785-4100

Fax

(208) 782-3713

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 16

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.

• BMH Inc Critical Access Hospital · Blackfoot, ID · NPI 1982805271
  Medicare reassignment Care Compare group NPD ID
• BMH, Inc. Surgery Physician · Blackfoot, ID · NPI 1255539193
  Medicare reassignment Care Compare group NPD ID
• Swedishamerican Hospital Family Medicine Physician · Rockford, IL · NPI 1962451732
  Medicare reassignment NPD IL
• BMH Inc. Rural Health Clinic/Center · Blackfoot, ID · NPI 1770785875
  Care Compare group NPD (past)
• BMH Inc Rural Health Clinic/Center · Shelley, ID · NPI 1366630949
  Care Compare group
• BMH Inc Medicare Defined Swing Bed Hospital Unit · Blackfoot, ID · NPI 1689876781
  Care Compare group
• BMH Inc Rural Health Clinic/Center · Blackfoot, ID · NPI 1922243088
  Care Compare group
• BMH Inc. Skilled Nursing Facility · Blackfoot, ID · NPI 1861694960
  Care Compare group
• BMH, Inc. Family Medicine Physician · Pocatello, ID · NPI 1295502995
  NPD
• BMH, Inc. Family Medicine Physician · Blackfoot, ID · NPI 1487851424
  NPD
• Swedishamerican Hospital Endocrinology, Diabetes & Metabolism Physician · Rockford, IL · NPI 1144382268
  NPD
• Swedishamerican Hospital Community/Retail Pharmacy · Rockford, IL · NPI 1306635982
  NPD
• Radiology Physicians of Idaho Diagnostic Radiology Physician · Pocatello, ID · NPI 1952377459
  NPD (past) DIAGNOSTIC RADIOLOGY
• Diversified Radiology of Colorado, Inc Diagnostic Radiology Physician · Lakewood, CO · NPI 1205923596
  NPD (past) DIAGNOSTIC RADIOLOGY
• Nufinity, LLC Vascular & Interventional Radiology Physician · Lafayette, IN · NPI 1477506319
  NPD (past) DIAGNOSTIC RADIOLOGY
• Southwest Diagnostic Imaging LLC Diagnostic Radiology Physician · Scottsdale, AZ · NPI 1902896236
  NPD (past) DIAGNOSTIC RADIOLOGY

Hospital & facility affiliations 1

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

• BMH Inc Critical Access Hospital · Blackfoot, ID · NPI 1982805271
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Interventional Radiology
Also: Vascular Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BMH Inc (137 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bingham Memorial Hospital Hospital · Blackfoot, ID · CCN 131325

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in ID, IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davidshelley@bmh.medalliesdirect.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 27, 2010.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1386685535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211758",
            "telephone_number": "208-785-4100",
            "fax_number": "208-782-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211758",
            "telephone_number": "208-785-4100",
            "fax_number": "208-782-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ID",
            "license": "M-10024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shaunna Shortes, FNP C
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• Charles Gordon Simpson, DDS
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All providers in Blackfoot, ID · Vascular & Interventional Radiology Physician in Idaho