Individual provider Active NPI

James M Shumake, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Pittsfield, IL
National Provider Identifier
1891914826
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
36071380 Issued in IL
Practice address
640 W Washington St
Pittsfield, IL 62363-1350
Phone
(217) 285-2113
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 36071380 IL Primary

Addresses

Primary practice location

640 W Washington St
Pittsfield, IL 62363-1350

Mailing address

640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 285-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100115000803 IL Practitioner - HospitalistPractitioner - General PracticePractitioner - Emergency Medicine 6800834698 Reassigns benefits to 3 organizations
I20110627000654 MO Practitioner - Emergency Medicine 6800834698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1720 Central Ave E
Hampton, IA 50441-1869

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36071380ILMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nokomis Medical Group CurrentSince Aug 27, 2023 Accepting new patients
Franklin General Hospital Current Accepting new patients
Pana Community Hospital Association CurrentSince Aug 27, 2023 Accepting new patients
Hermann Area Hospital District CurrentSince Jul 9, 2019 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Jan 25, 2026 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Jan 25, 2026 Accepting new patients
Pana Community Hospital Association CurrentSince Dec 1, 2025 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Jan 25, 2026 Accepting new patients
Hermann Area Hospital District CurrentSince Jul 9, 2019 Accepting new patients
Mercy Medical Center-Centerville PastSince Jan 1, 1990 Accepting new patients
Mercy Medical Center-Centerville PastSince Jan 1, 1990 Accepting new patients
Mercy Medical Center-Centerville PastSince Jan 1, 1990 Accepting new patients
Mercy Medical Center-Centerville PastSince Jan 1, 1990 Accepting new patients
Mercy Medical Center-Centerville PastSince Jan 1, 1990 Accepting new patients
Mercy Medical Center-Centerville PastSince Jan 1, 1990 Accepting new patients

Locations

800 School St
Carrollton, IL 62016
Phone (217) 942-3600

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/

Organizations & group practices 15

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.

View all 15

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1891914826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631350",
            "telephone_number": "217-285-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631350",
            "telephone_number": "217-285-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKE",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IL",
            "license": "36071380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, IL

Sources for this page

Verify at the official NPI Registry.