WILLIAM WALTER SHELY MD NPI 1215920236

NPI Information

NPI: 1215920236
Provider Name: WILLIAM WALTER SHELY, MD
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 875 OAK ST SE
SUITE 5020
SALEM, OR
ZIP 97301
Phone: (503) 371-4044

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NPI Details

William Walter Shely, MD is a thoracic surgery cardiothoracic vascular surgery in Salem, OR with 41 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. William Walter Shely, MD NPI is 1215920236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1985

The provider's business location address is:

875 OAK ST SE
SUITE 5020
SALEM, OR
ZIP 97301-975
Phone: (503) 371-4044
Fax: (503) 371-4356

The NPI 1215920236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Coronary artery bypass graft (CABG) (HCPCS:NAN07)
Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 8/24/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	MD00033156	WASHINGTON	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	G68679	CALIFORNIA	No
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	MD14793	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8178899	MEDICAID	WASHINGTON
2	G02755	MEDICARE UPIN	OREGON
3	115781	MEDICARE ID-TYPE UNSPECIFIED	OREGON	SALEM
4	AB37914	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	VANCOUVER
5	115794	MEDICARE ID-TYPE UNSPECIFIED	OREGON	PORTLAND
6	073705	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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