Active NPI
Petro Shafranyuk, MD
- Hospitalist Physician
- Dekalb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036174915
- Practice address
- 1 Kish Hospital Dr
Dekalb, IL 60115-9602 - Phone
- (815) 756-1521
- Fax
- (815) 748-5789
- NPI assigned
- Apr 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01096528A | IN | |
| Hospitalist Physician | 208M00000X | 01096528A | IN | |
| Internal Medicine Physician | 207R00000X | 036174915 | IL | |
| Hospitalist Physician | 208M00000X | 036174915 | IL | Primary |
Addresses
Primary practice location
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Mailing address
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521
Other practice location 1
1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521
901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600
Hospital & facility affiliations
- Community Hospital
- Valley West Community Hospital
- Northwestern Medicine Kishwaukee Hospital
- St Catherine Hospital Inc
- Valley West Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036174915 | IL | MD | Internal Medicine Physician |
| 01096528A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Vituity-California Observation Services PC | Internal Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Vituity-California Observation Services PC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Dept 5777
Carol Stream, IL 60122
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
- Hospitalist Physician
- Munster, IN
- NPI 1902794266
Internal Medicine
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Emergency Medicine Physician
- Sacramento, CA
- NPI 1447148705
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1184705931
-
- Medicare Defined Swing Bed Hospital Unit
- Sandwich, IL
- NPI 1336638915
Nursing home
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1669114773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KISH HOSPITAL DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601159602",
"telephone_number": "815-756-1521",
"fax_number": "815-748-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KISH HOSPITAL DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601159602",
"telephone_number": "815-756-1521",
"fax_number": "815-748-5789"
}
],
"practiceLocations": [
{
"address_1": "1302 N Main St",
"address_purpose": "LOCATION",
"city": "Sandwich",
"state": "IL",
"postal_code": "605482587",
"country_code": "US",
"telephone_number": "815-786-8484",
"fax_number": "815-981-7356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAFRANYUK",
"first_name": "PETRO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-09",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01096528A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01096528A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036174915",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036174915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.