SHIRLEY SHETH D.O
NPI 1033362272
Emergency Medicine in Valparaiso, IN

Active since October 31, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3800 SAINT MARY RD, VALPARAISO, IN 46383(817) 657-8677 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1033362272
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSHIRLEY SHETHCredential: D.O
Location Address3800 SAINT MARY RDValparaiso, IN 46383-3986
Mailing Address3800 Saint Mary RdValparaiso, IN 46383-3986
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2005
Enumeration DateOctober 31, 2008
Last NPPES UpdateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
NPI 1033362272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in IL · 036119237 Licensed in IN · 02003526A
Definition

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.

3800 SAINT MARY RD, Valparaiso, IN 46383

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.

PECOS PAC ID7012061252
PECOS Enrollment IDI20090821000400, I20110525000114
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
68 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services19 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
12 services12 patients

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, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Registered Nurse (Emergency)
3800 SAINT MARY RD
VALPARAISO, IN 46383
Physical Therapy Assistant
3800 SAINT MARY RD
VALPARAISO, IN 46383
Internal Medicine
3800 SAINT MARY RD, STE 103
VALPARAISO, IN 46383
Occupational Therapy Assistant
3800 SAINT MARY RD
VALPARAISO, IN 46383

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.