SHEETAL K DECARIA MD
NPI 1649569534
Pain Medicine - Interventional Pain Medicine in Glenview, IL

Q: What is Sheetal Decaria's NPI number?

The NPI number for Sheetal Decaria is 1649569534. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Q: What is Sheetal Decaria's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Sheetal Decaria was last updated on September 20, 2023. 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.

Active since March 31, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2550 COMPASS RD UNIT AB, GLENVIEW, IL 60026(847) 834-4018 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2019, Aug 21, 2018, Feb 17, 2017 (3 updates tracked since 2017).

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About Sheetal K Decaria Md NPPES

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

SHEETAL K DECARIA MD (NPI 1649569534) is an individual interventional pain medicine provider in Glenview, Illinois, licensed in Illinois (036126645) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1649569534

Entity TypeIndividualFemale

Primary Taxonomy208VP0014X

Provider Legal NameSHEETAL K DECARIACredential: MD

Location Address2550 COMPASS RD UNIT ABGlenview, IL 60026-1610

Mailing Address2550 Compass Rd Unit AbGlenview, IL 60026-1610 · (847) 834-4018 · Fax (847) 834-4018

Phone(847) 834-4018

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2007

Enumeration DateMarch 31, 2011

Last NPPES UpdateSeptember 20, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2023

✔ NPI 1649569534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in IL · 036126645

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 036126645 (IL)

2550 COMPASS RD UNIT AB, Glenview, IL 60026

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Secondary Practice Location 1

Location 1355 Ridge AveEvanston, IL 60202-3328 · Phone (847) 834-4018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Sheetal K Decaria Md 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 ID9234383357

PECOS Enrollment IDI20130125000108

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 19

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.

Acupuncture with electrical stimulation, each additional 15 minutes 97814

Acupuncture with electrical stimulation involves inserting thin needles into specific points on your body. A mild electrical current is then passed through these needles for a set time, often 15 minutes. This can enhance the effects of traditional acupuncture, helping to relieve pain and promote healing.

1,573 services114 patients

Acupuncture, each additional 15 minutes 97811

Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.

1,092 services123 patients

Acupuncture with electrical stimulation, initial 15 minutes 97813

Acupuncture with electrical stimulation is a therapy where thin needles are inserted into specific points on your body. A mild electrical current is then passed through the needles to stimulate these points, helping to alleviate pain and promote healing. This initial session lasts 15 minutes.

787 services114 patients

Acupuncture, initial 15 minutes 97810

Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.

546 services123 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

408 services56 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

391 services30 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

181 services56 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

148 services102 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.

124 services86 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

92 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

88 services88 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

67 services47 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

56 services45 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

34 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

27 services20 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

21 services15 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

16 services14 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60026 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Other Providers at the Same Location NPPES 2

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

REVITALIZE WELLNESS CENTER

Acupuncturist

2550 COMPASS RD UNIT AB
GLENVIEW, IL 60026

Cook County (847) 957-1972

REVITALIZE MEDICAL CENTER LLC

Pain Medicine (Interventional Pain Medicine)

2550 COMPASS RD UNIT AB
GLENVIEW, IL 60026

Cook County (847) 834-4018

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 Sheetal Decaria's NPI number?

The NPI number for Sheetal Decaria is 1649569534. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Sheetal Decaria located?

Sheetal Decaria practices at 2550 Compass Rd Unit Ab, Glenview, IL 60026. The listed phone number is (847) 834-4018.

What is Sheetal Decaria's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Sheetal Decaria enrolled in Medicare?

Yes. Sheetal Decaria 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 Sheetal Decaria accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sheetal Decaria 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 Sheetal Decaria affiliated with any hospitals?

According to CMS data, Sheetal Decaria is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Sheetal Decaria was last updated on September 20, 2023. 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.