SAMUEL G. SHILEY MD – NPI #1861429227
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

SAMUEL SHILEY is an otolaryngologist located in PORTLAND, OR. NPPES has assigned the NPI number 1861429227 to SAMUEL SHILEY on June 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was last updated on Jun 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL SHILEY below.

NPI Profile for
SAMUEL G. SHILEY

NPI Number
1861429227
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL G. SHILEY
Credentials
MD
Primary location
2701 NW VAUGHN ST STE 150
PORTLAND, OR 97210-5379
Phone: (503) 229-8455 Fax: (503) 229-7028
Mailing address
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone: (503) 963-2801 Fax: (503) 963-2825
Sole Proprietor
No
Updated
Certification Date
Jun 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAMUEL SHILEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR269657
medicaidWA2059958
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)		 OR MD25260

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
cc_otoc_ent_nw_good_sam_front_desk_pool12223127@oc.providencedirect.org
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
2222 NW LOVEJOY ST,
PORTLAND, OR 77025-1669

Additional Information

Education
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMUEL SHILEY is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY EMANUEL MEDICAL CENTER
      2801 N GANTENBEIN AVENUE
      PORTLAND, OR 97227
    • LEGACY GOOD SAMARITAN MEDICAL CENTER
      1015 NW 22ND AVENUE, W121
      PORTLAND, OR 97210
    • LEGACY MERIDIAN PARK MEDICAL CENTER
      19300 SW 65TH AVENUE
      TUALATIN, OR 97062
    • PROVIDENCE PORTLAND MEDICAL CENTER
      4805 NE GLISAN STREET
      PORTLAND, OR 97213
    • PROVIDENCE ST VINCENT MEDICAL CENTER
      9205 SW BARNES ROAD
      PORTLAND, OR 97225

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.