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

Active since August 13, 2006PECOS Enrolled
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: October 25, 2026.

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

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.

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
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, Cigna Healthcare.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. Tina Marie Schade Willis 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 Reassignments

2

Medicare enrollment records show Tina Schade Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Pediatric Associates, Inc.
Same address
Pediatrics
705 RILEY HOSPITAL DR, RR 127
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1457396541 (317) 777-6435
Iu Health Medical Group Riley Specialists, LLC
Same address
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000

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

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)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 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.

Where is Tina Schade Willis located?

Tina Schade Willis practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 948-7128.

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.

Is Tina Schade Willis enrolled in Medicare?

Yes. Tina Schade Willis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tina Schade Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Schade Willis reassigns Medicare benefits to 2 organizations: University Pediatric Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Schade Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Schade Willis accept?

Health plans from CareSource and Cigna Healthcare list Tina Schade Willis 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.

When was this NPI record last updated?

The NPPES record for Tina Schade Willis was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.