THOMAS J. SHEEDY M.D.
NPI 1053383695
Pediatrics - Adolescent Medicine in Waukesha, WI
About Thomas J. Sheedy M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS J. SHEEDY M.D. (NPI 1053383695) is an individual adolescent medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (37781) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas J. Sheedy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thomas Sheedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waukesha, WI 53189
- Reassigned Medicare billing, Wisconsin enrollment
- 528 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUKESHA, WI 53189
WAUKESHA, WI 53189
WAUKESHA, WI 53189
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 Thomas Sheedy's NPI number?
The NPI number for Thomas Sheedy is 1053383695. It was assigned to this individual provider in the NPPES registry on February 7, 2006.
Where is Thomas Sheedy located?
Thomas Sheedy practices at 2130 Big Bend Rd Prohealth Care Medical Associates Inc., Waukesha, WI 53189. The listed phone number is (262) 928-7555.
What is Thomas Sheedy's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Thomas Sheedy enrolled in Medicare?
Yes. Thomas Sheedy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thomas Sheedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Sheedy reassigns Medicare benefits to Prohealth Medical Group Inc (Waukesha, WI). The 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 Thomas Sheedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Sheedy accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and UnitedHealthcare list Thomas Sheedy 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.
When was this NPI record last updated?
The NPPES record for Thomas Sheedy was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Thomas J. Sheedy, M.D. · NPI 1053383695
Adolescent Medicine physician in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since February 7, 2006.
## Identity
- **NPI:** 1053383695 (Entity type: Individual)
- **Enumerated:** February 7, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 37781 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., Waukesha, WI 53189-7624
- **Phone:** (262) 928-7555 · **Fax:** (262) 513-7575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prohealth Medical Group Inc (NPI 1760523559, Waukesha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2014
- **Other identifiers:** Medicaid 32237100 (WI); Medicare PIN 000168280 (WI); Medicare PIN 683750692 (WI); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1053383695) · Data from the CMS NPPES public registry.