DR. RICHARD J SHEA M.D.
NPI 1578534004
Internal Medicine - Cardiovascular Disease in Indianapolis, IN

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237(317) 893-1900(317) 893-1685 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 6, 2024, Mar 20, 2021, Sep 20, 2017 (3 updates tracked since 2017).

About Dr. Richard J Shea M.d. NPPES

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

DR. RICHARD J SHEA M.D. (NPI 1578534004) is an individual cardiovascular disease provider in Indianapolis, Indiana, licensed in Indiana (01050835A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (1989).

NPPES Registry Identity

NPI1578534004
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RICHARD J SHEACredential: M.D.
Location Address5330 E STOP 11 RDIndianapolis, IN 46237-6345
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(317) 893-1685
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1989
Enumeration DateFebruary 1, 2006
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1578534004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IN · 01050835A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5330 E STOP 11 RD, Indianapolis, IN 46237

Other Identifiers 1

Medicaid200252330AIN

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

Dr. Richard J Shea 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.

PECOS PAC ID6002719036
PECOS Enrollment IDI20051115000948
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 18

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
649 services633 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services234 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
231 services230 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
228 services227 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.
161 services160 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
151 services151 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150001
Location1125 W Jefferson StFranklin, IN 46131 · Johnson County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.94 avg. paid by Medicare
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
1 supplier11 claims11 services$63.39 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 20

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

Physician Assistant
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Nurse Practitioner (Gerontology)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Nurse Practitioner (Adult Health)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Physician Assistant
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237
Internal Medicine (Cardiovascular Disease)
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237

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 Richard Shea's NPI number?

The NPI number for Richard Shea is 1578534004. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Richard Shea located?

Richard Shea practices at 5330 E Stop 11 Rd, Indianapolis, IN 46237. The listed phone number is (317) 893-1900.

What is Richard Shea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Richard Shea enrolled in Medicare?

Yes. Richard Shea 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 Richard Shea accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Richard Shea 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 Richard Shea affiliated with any hospitals?

According to CMS data, Richard Shea is affiliated with Johnson Memorial Hospital, Indiana University Health, Franciscan Health Mooresville, Major Hospital and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Richard Shea was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.