Shallon Tore Craddock, M.D., M.P.H.
NPI 1700088846ActiveIndividual· Pediatrics· Hilo, HI
Pediatrics (M.D., M.P.H.) in Hilo, Hawaii, licensed in HI, AK and IL, with an NPI issued in June 2007. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1700088846 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., M.P.H. |
| Sole proprietor | No |
| NPI issued | Jun 1, 2007 |
| Last updated in NPPES | Mar 21, 2025 |
| Certified by provider | Mar 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 17956 | HI |
| Pediatrics | 208000000X | 7298 | AK |
| Pediatrics | 208000000X | 036172973 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (GA); Practitioner - Pediatric Medicine (IL); Practitioner - Pediatric Medicine (NC); Practitioner - Pediatric Medicine (WI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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