Peter Alex Shireman
NPI 1134817646ActiveIndividual· Audiologist· Champaign, IL
Audiologist in Champaign, Illinois, licensed in IL, with an NPI issued in April 2023. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1134817646 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 24, 2023 |
| Last updated in NPPES | Jan 3, 2025 |
| Certified by provider | Jan 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 147002009 | IL |
| Audiologist | 231H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (IL) |
|---|
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