Individual provider Active NPI

John K. Shekleton, M.D.

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1649277666
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
29401 Issued in KY
Practice address
1871 W Orange Grove Rd Ste 101
Tucson, AZ 85704-1289
Phone
(520) 219-8342
Fax
(520) 219-7117
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X KY
Specialist 174400000X 29600 AZ
Gastroenterology Physician 207RG0100X 29401 KY Primary

Addresses

Primary practice location

1871 W Orange Grove Rd Ste 101
Tucson, AZ 85704-1289

Mailing address

1871 W Orange Grove Rd Ste 101
Tucson, AZ 85704-1289
Phone (520) 219-8342

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.shekleton.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080215000367 AZ Practitioner - Gastroenterology 9931205127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Southern Illinois University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

1871 W Orange Grove Rd
Suite 101
Tucson, AZ 85704-1289
Phone (520) 219-8342

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy118
Upper gastrointestinal (GI) endoscopy for acid reflux149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince May 23, 2022 Accepting new patients
Northwest Allied Physicians LLC CurrentSince May 23, 2022 Accepting new patients
Tucson Gastroenterology Specialists, PC Specialist PastSince Jan 4, 2016 Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1871 W Orange Grove Rd
Ste 101
Tucson, AZ 85704
Phone (520) 219-8342

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60342
  • Direct secure messaging: john.shekleton.1@1576.direct.athenahealth.com

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1649277666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-219-8342",
            "fax_number": "520-219-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-219-8342",
            "fax_number": "520-219-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKLETON",
        "first_name": "JOHN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29600",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "29401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.shekleton.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1871 W Orange Grove Rd Ste 101",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857041289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.