Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roger Sebastian Shinnerl, MD

Individual provider Vascular Surgery Physician · NPI 1760684765

Dr. Roger Sebastian Shinnerl, MD is a Vascular Surgery in Carbondale, Illinois. Qualified in 1994, 32 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
32
Licensed in
IL, IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone: (618) 457-3031
Fax: (618) 457-3032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036166938 (IL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 01063822A (IN)

Record details

NPI number1760684765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2007
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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