Gerald McShane

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

200 E Pennsylvania Ave
Peoria, IL 61603-3089

Phone

(309) 655-7990

Fax

(309) 655-7953

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Francis Medical Center Home health agency, Peoria, IL, CCN 147243
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 74

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 77

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Greater Peoria Specialty Hospital, LLC

  dba Osf Healthcare Divine Mercy Continuing Care Hospital

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1033862743

  Corporate Director

  CMS ownership
• Greater Peoria Specialty Hospital, LLC

  dba Osf Healthcare Divine Mercy Continuing Care Hospital

  • Long Term Care Hospital
  • Peoria, IL
  • NPI 1770721508

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Granville

  • Rural Health Clinic/Center
  • Granville, IL
  • NPI 1225877590

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Rural Health Clinic/Center
  • Mendota, IL
  • NPI 1316320849

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Plaza

  • Rural Health Clinic/Center
  • Peru, IL
  • NPI 1376391888

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba OSF Medical Group-Mendota

  • Family Medicine Physician
  • Mendota, IL
  • NPI 1407872997

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Midtown

  • Rural Health Clinic/Center
  • Peru, IL
  • NPI 1447029301

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Spring Valley

  • Rural Health Clinic/Center
  • Spring Valley, IL
  • NPI 1750139267

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Mendota, IL
  • NPI 1922024843

  Corporate Director

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Oglesby

  • Rural Health Clinic/Center
  • Oglesby, IL
  • NPI 1952159469

  Corporate Director

  CMS ownership
• Osf Healthcare System

  dba OSF Medical Group-Kewanee

  • Rural Health Clinic/Center
  • Kewanee, IL
  • NPI 1083030233

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Osf Healthcare System

  dba OSF Saint Katharine Medical Center

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590
  NPD (past)
• Osf Lifeline Ambulance, LLC

  • Land Ambulance
  • Rockford, IL
  • NPI 1619036829
  NPD (past)
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Healthcare - Medical Group (Non-RHC Billing)

  • Family Medicine Physician
  • Marseilles, IL
  • NPI 1558088203
  NPD (past)
• Saint James Hospital

  dba OSF Healthcare - Medical Group - Roanoke

  • Rural Health Clinic/Center
  • Roanoke, IL
  • NPI 1164138848
  NPD (past)
• St Joseph Medical Center

  dba OSF Saint Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806
  NPD (past)

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

• Saint Francis Medical Center

  dba Saint Francis Home Health

  • Home Health Agency
  • Peoria, IL
  • NPI 1346281425
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669553012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E PENNSYLVANIA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033089",
            "telephone_number": "309-655-7990",
            "fax_number": "309-655-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PENNSYLVANIA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033089",
            "telephone_number": "309-655-7990",
            "fax_number": "309-655-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephan McMurray
• Ashley McMurtry
• Case McNally
• Leanne J McNett, LCSW
• R Parker McRae, M.D.
• Patrick McShane
• Robert R McWilliams, M.D.
• Joy L Meachum, LCSW
• James A Meagher, D.D.S
• Michael Patrick Meaney, APRN, CNP

• Internal Medicine Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.