DR. PAULETTE PADILLA SHIELDS MD
NPI 1760042162
Pediatrics in Columbus, IN

Q: What is Paulette Padilla Shields's NPI number?

The NPI number for Paulette Padilla Shields is 1760042162. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Q: What is Paulette Padilla Shields's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 18, 2019PECOS Enrolled

2150 25TH ST STE B, COLUMBUS, IN 47201(812) 376-9219 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2024, May 8, 2024, Sep 19, 2022 and 1 more (4 updates tracked since 2019).

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About Dr. Paulette Padilla Shields Md NPPES

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

DR. PAULETTE PADILLA SHIELDS MD (NPI 1760042162) is an individual pediatrics provider in Columbus, Indiana, licensed in Illinois (125.075071) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1760042162

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. PAULETTE PADILLA SHIELDSCredential: MD

Location Address2150 25TH ST STE BColumbus, IN 47201-3243

Mailing AddressPo Box 775383Chicago, IL 60677-5383 · (812) 376-5315

Phone(812) 376-9219

Sole ProprietorNo

Enumeration DateJune 18, 2019

Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1760042162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125.075071

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2150 25TH ST STE B, Columbus, IN 47201

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Secondary Practice Location 1

Location 13128 N Linnhill CtPeoria, IL 61604-1650 · Phone (801) 686-7676

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paulette Padilla Shields 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.

Medicare Billing Reassignment

Medicare enrollment records show Paulette Padilla Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbus Regional Health Phyisicans, LLC

0.3 mi

Emergency Medicine

2502 25TH ST
Columbus, IN 47201

Reassigned Medicare billing, Indiana enrollment
Medicare enrollment name: Columbus Regional Health Physicians LLC
235 clinicians in this Medicare group

NPI 1194195552 (812) 372-8883

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 7

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

NICOLE LURLINE MENSAH-PIKE MD

Pediatrics