SHIRLEY SHETH D.O
NPI 1033362272
Emergency Medicine in Valparaiso, IN
About Shirley Sheth D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRLEY SHETH D.O (NPI 1033362272) is an individual emergency medicine provider in Valparaiso, Indiana, licensed in Illinois (036119237) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shirley Sheth D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Shirley Sheth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Valparaiso, IN 46383
- Reassigned Medicare billing, Indiana enrollment
- 598 clinicians in this Medicare group
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Effingham, IL 62401
- Reassigned Medicare billing, Illinois enrollment
- 119 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Macneal Hospital
Acute Care Hospitals · Berwyn, ILSt Mary Medical Center Inc
Acute Care Hospitals · Hobart, INCommunity Hospital
Acute Care Hospitals · Munster, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shirley Sheth's NPI number?
The NPI number for Shirley Sheth is 1033362272. It was assigned to this individual provider in the NPPES registry on October 31, 2008.
Where is Shirley Sheth located?
Shirley Sheth practices at 3800 Saint Mary Rd, Valparaiso, IN 46383. The listed phone number is (817) 657-8677.
What is Shirley Sheth's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shirley Sheth enrolled in Medicare?
Yes. Shirley Sheth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shirley Sheth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Sheth reassigns Medicare benefits to 4 organizations: Cep America LLC (Valparaiso, IN), Community Care Network Inc (St John, IN), Cepamerica Illinois LLP (Olympia Fields, IL) and Vituity - Illinois Auc LLP (Effingham, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shirley Sheth accept?
Health plans from CareSource list Shirley Sheth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shirley Sheth affiliated with any hospitals?
According to CMS data, Shirley Sheth is affiliated with Macneal Hospital, St Mary Medical Center Inc and Community Hospital.
When was this NPI record last updated?
The NPPES record for Shirley Sheth was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shirley Sheth, D.O · NPI 1033362272
Emergency Medicine physician in Valparaiso, Indiana. Individual provider, active in the CMS NPPES registry since October 31, 2008.
## Identity
- **NPI:** 1033362272 (Entity type: Individual)
- **Enumerated:** October 31, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036119237 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 SAINT MARY RD, Valparaiso, IN 46383-3986
- **Phone:** (817) 657-8677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1508683400, Valparaiso, IN); Community Care Network Inc (NPI 1457610487, St John, IN); Cepamerica Illinois LLP (NPI 1811697287, Olympia Fields, IL); Vituity - Illinois Auc LLP (NPI 1306334198, Effingham, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2005
## Record status
- **NPPES last updated:** November 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033362272) · Data from the CMS NPPES public registry.