Donald Joe Sheller, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016003172 Issued in IL

Practice address

3827 N Prospect Rd
Peoria, IL 61616-7767

Phone

(309) 686-1000

Fax

(309) 686-8174

NPI assigned

Jan 25, 2006

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Podiatry Group, PCGroup PAC ID 5597844613, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Merit-based Incentive Payment System (MIPS)

Final score

87.64 of 100Reported as individual

Quality

75.29

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19358/brand/1/csg/1/fhir/r4

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.

• Midwest Podiatry Group, PC

  • Foot & Ankle Surgery Podiatrist
  • Peoria, IL
  • NPI 1184731663
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1942270434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616167767",
            "telephone_number": "309-686-1000",
            "fax_number": "309-686-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616167767",
            "telephone_number": "309-686-1000",
            "fax_number": "309-686-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLER",
        "first_name": "DONALD",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4768490001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Sue Shearer, PTA
• Daniel T Sheen, MA
• Sheepdogs Care Inc (Synergy Homecare)
• Maureen Shekleton, RPH
• Michael F. Shekleton
• Sher Institute for Reproductive Medicine Central Illinois PC
• Nicolle Danielle Sherwood
• Aliaa Shetaya
• Suraj Sheth, MD, PHD
• Emily Shi

• Foot & Ankle Surgery Podiatrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.

Verify at the official NPI Registry.