DR. TINA MARIE SCHADE WILLIS MD
NPI 1801809934
Pediatrics - Pediatric Critical Care Medicine in Indianapolis, IN

Q: What is Tina Schade Willis's NPI number?

The NPI number for Tina Schade Willis is 1801809934. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Tina Schade Willis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-7128 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 7, 2026, Oct 30, 2018, Jul 10, 2018 (3 updates tracked since 2018).

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About Dr. Tina Marie Schade Willis Md NPPES

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

DR. TINA MARIE SCHADE WILLIS MD (NPI 1801809934) is an individual pediatric critical care medicine provider in Indianapolis, Indiana, licensed in Indiana (01080559A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1801809934

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. TINA MARIE SCHADE WILLISCredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 948-7128

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 13, 2006

Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1801809934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in IN · 01080559A✔ Licensed in NC · 0400964

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 01080559A (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid300015476IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Tina Marie Schade Willis 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 ID9537129366

PECOS Enrollment IDI20180927001945

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)