PAUL EVANS DOROSHEFF, d.c. — NPI 1104863984 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician in CAHOKIA, IL)

CMS-1500 Box 24J / 33a • NPI

1104863984

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NS0005X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician

Box 32 Service Location & ZIP+4

1518 CAMP JACKSON RD, CAHOKIA, IL, 62206-2561

✓ 9-Digit EDI 837 ZIP+4 (62206-2561)

Practice Phone & Referral Fax

(314) 471-8212

Fax: (618) 337-7109

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104863984 (PAUL EVANS DOROSHEFF, d.c.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104863984` (NPI-1 Individual Practitioner)
Provider / Legal Name	PAUL EVANS DOROSHEFF, d.c.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician NUCC Code: `111NS0005X` (Chiropractor, Sports Physician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1518 CAMP JACKSON RD, CAHOKIA, IL, 62206-2561
Practice Telephone / Fax	Tel: (314) 471-8212 \| Fax: (618) 337-7109
Administrative Mailing Address	26499 WOHLER AVE, GREENVIEW, IL, 62642-9574
Enumeration & Last Sync	Enumerated: 2006-06-01 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1518 CAMP JACKSON RD, CAHOKIA, IL, 62206-2561

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Plain-English Taxonomy & CMS Crosswalk (111NS0005X)

What Does Taxonomy Code 111NS0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NS0005X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Sports Physician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAUL EVANS DOROSHEFF, d.c.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NS0005X` — Chiropractor, Sports Physician Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician	State: IL \| License: `038007626` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PAUL EVANS DOROSHEFF, d.c. (NPI #1104863984)