DR. SHEILA ANN CONWAY M.D.
NPI 1245423441
Orthopaedic Surgery in Miami, FL
About Dr. Sheila Ann Conway M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHEILA ANN CONWAY M.D. (NPI 1245423441) is an individual orthopaedic surgery provider in Miami, Florida, licensed in Florida (10963) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Temple University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Sheila Ann Conway M.d. 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
2Medicare enrollment records show Sheila Conway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33125
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33136 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33136
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 Sheila Conway's NPI number?
The NPI number for Sheila Conway is 1245423441. It was assigned to this individual provider in the NPPES registry on August 21, 2007. The provider is also known as Dr. Sheila Conway Adams M.D..
Where is Sheila Conway located?
Sheila Conway practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 689-7600.
What is Sheila Conway's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Sheila Conway enrolled in Medicare?
Yes. Sheila Conway 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 Sheila Conway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Conway reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Wake Forest University Health Sciences (Lexington, NC). 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 Sheila Conway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheila Conway accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Sheila Conway 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 Sheila Conway affiliated with any hospitals?
According to CMS data, Sheila Conway is affiliated with North Carolina Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Sheila Conway was last updated on May 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Sheila Ann Conway, M.D. · NPI 1245423441
Orthopaedic Surgery physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since August 21, 2007.
## Identity
- **NPI:** 1245423441 (Entity type: Individual)
- **Enumerated:** August 21, 2007
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 10963 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 NW 12TH AVE, Miami, FL 33136-1003
- **Phone:** (305) 689-7600
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Miami (NPI 1104232578, Miami, FL); Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** May 27, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1245423441) · Data from the CMS NPPES public registry.