DR. TRUDY M SHADY MD
NPI 1417940354
Internal Medicine - Pulmonary Disease in Belleville, IL

Q: What is Trudy Shady's NPI number?

The NPI number for Trudy Shady is 1417940354. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Trudy Shady's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Trudy Shady was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 25, 2005PECOS Enrolled

4600 MEMORIAL DR STE 200, BELLEVILLE, IL 62226(618) 233-2220(618) 233-2555 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2020, Jan 7, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Trudy M Shady Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRUDY M SHADY MD (NPI 1417940354) is an individual pulmonary disease provider in Belleville, Illinois, licensed in Illinois (036-089376) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417940354

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. TRUDY M SHADYCredential: MD

Location Address4600 MEMORIAL DR STE 200Belleville, IL 62226-5363

Mailing Address4500 Memorial DrBelleville, IL 62226-5360 · (618) 257-4644 · Fax (618) 257-6946

Phone(618) 233-2220

Fax(618) 233-2555

Sole ProprietorNo

Enumeration DateAugust 25, 2005

Last NPPES UpdateSeptember 2, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2020

✔ NPI 1417940354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in IL · 036-089376✔ Licensed in MO · R3L47

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-089376 (IL)

4600 MEMORIAL DR STE 200, Belleville, IL 62226

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trudy M Shady Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers34 claims34 services$103.46 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers14 claims14 services$33.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINNY MENSE FNP-C

Nurse Practitioner (Family)