ROGER S. SHINNERL M.D. – NPI #1760684765
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

ROGER SHINNERL is a surgeon located in CARBONDALE, IL. NPPES has assigned the NPI number 1760684765 to ROGER SHINNERL on June 01, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on May 08, 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 ROGER SHINNERL below.

NPI Profile for
ROGER S. SHINNERL

NPI Number
1760684765
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROGER S. SHINNERL
Credentials
M.D.
Primary location
305 W JACKSON ST STE 206
CARBONDALE, IL 62901-1474
Phone: (618) 457-3031 Fax: (618) 457-3032
1 Other location(s):
2601 W Main St
Carbondale, IL 62901-1031
Phone: (618) 351-7300
Mailing address
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone: (618) 457-5200 Fax:
Sole Proprietor
No
Updated
Certification Date
May 08, 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 ROGER SHINNERL

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.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBSIN00001666778
otherSTATE CSRIN01063822B
otherSTATE LICENSEIN01063822A
medicaidIN300063165
medicaidKY7100035620
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
2086S0129X
- Surgery / Vascular Surgery (Primary)		 IN 01063822A

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
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
305 W JACKSON ST STE 206,
CARBONDALE, IL 77025-1669

Additional Information

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
ROGER SHINNERL is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION ST VINCENT EVANSVILLE
      3700 WASHINGTON AVE
      EVANSVILLE, IN 47750
    • DEACONESS HOSPITAL INC
      600 MARY ST
      EVANSVILLE, IN 47747
    • MEMORIAL HOSPITAL AND HEALTH CARE CENTER
      800 W 9TH ST
      JASPER, IN 47546

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

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.