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
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
What insurance does Shirley Sheth accept?
Health plans from Molina Healthcare 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 with the weekly NPPES data releases published by CMS.