THOMAS J SHULA MD
NPI 1760486245
Pediatrics - Pediatric Cardiology in Rockford, IL

Q: What is Thomas Shula's NPI number?

The NPI number for Thomas Shula is 1760486245. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Thomas Shula's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Shula was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 13, 2005PECOS Enrolled

444 ROXBURY RD, ROCKFORD, IL 61107(815) 227-5600(815) 227-9242 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas J Shula Md NPPES

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

THOMAS J SHULA MD (NPI 1760486245) is an individual pediatric cardiology provider in Rockford, Illinois, licensed in Illinois (036-074760) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760486245

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameTHOMAS J SHULACredential: MD

Location Address444 ROXBURY RDRockford, IL 61107-5059

Mailing Address444 Roxbury RdRockford, IL 61107-5059 · (815) 227-5600 · Fax (815) 227-9242

Phone(815) 227-5600

Fax(815) 227-9242

Sole ProprietorNo

Enumeration DateJune 13, 2005

Last NPPES UpdateFebruary 23, 2016

✔ NPI 1760486245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in IL · 036-074760

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedSpecialistTaxonomy 174400000X · License 036074760 (IL)

444 ROXBURY RD, Rockford, IL 61107

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Other Identifiers 1

Medicaid036074760IL

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 (PECOS)

Thomas J Shula 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.

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.

MR. RAYMOND KWONG PA-C

Physician Assistant