NPIMap

Individual provider Active NPI

Philippe N Shils, PA

  • Physician Assistant
  • Decatur, IL
National Provider Identifier
1649364290
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085001836 Issued in IL
Practice address
1800 E Lake Shore Drive
Decatur, IL 62521-3810
Phone
(217) 464-1157
Fax
(217) 464-1169
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085001836 IL Primary

Addresses

Primary practice location

1800 E Lake Shore Drive
Decatur, IL 62521-3810

Mailing address

1800 E Lake Shore Drive
Decatur, IL 62521-3810
Phone (217) 464-1157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pshils101380@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000506 IL Practitioner - Physician Assistant 5395751697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1836 S Macarthur Blvd
Springfield, IL 62704-4030
Phone (217) 789-1403

1900 E Lake Shore Dr
Suite 330
Decatur, IL 62521-3848
Phone (217) 423-2889

544 W Pershing Rd
Decatur, IL 62526-3226
Phone (217) 872-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085001836ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Jan 8, 2012 Accepting new patients
SJL Health Systems Inc CurrentSince Jan 8, 2012 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Decatur Emergency Medical Services II S C Past Accepting new patients
Community Health Improvement Center Past Accepting new patients

Locations

544 W Pershing Rd
Decatur, IL 62526
Phone (217) 872-2400

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

2981 N Main St
Decatur, IL 62526
Phone (217) 542-1293

Interoperability endpoints

  • Direct secure messaging: pshils101380@ewd.direct.hshs.org

Organizations & group practices 6

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 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1649364290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E LAKE SHORE DRIVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213810",
            "telephone_number": "217-464-1157",
            "fax_number": "217-464-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LAKE SHORE DRIVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213810",
            "telephone_number": "217-464-1157",
            "fax_number": "217-464-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILS",
        "first_name": "PHILIPPE",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pshils101380@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2981 N Main St",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625263259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.