STEPHEN J SHIELDS MD PA
NPI 1962653394
Internal Medicine in Clearwater, FL
About Stephen J Shields Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN J SHIELDS MD PA (NPI 1962653394) is a healthcare organization registered as an internal medicine in Clearwater, Florida and active in the NPI registry since October 2008. The organization lists Stephen Joseph Shields, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen J Shields Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen J Shields MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stephen J Shields MD PA's NPI number?
The NPI number for Stephen J Shields MD PA is 1962653394. It was assigned to this organization in the NPPES registry on October 3, 2008.
Where is Stephen J Shields MD PA located?
Stephen J Shields MD PA is located at 1211 Reynolds Ave Suite B, Clearwater, FL 33756. The listed phone number is (727) 466-6564.
What is Stephen J Shields MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Stephen J Shields MD PA enrolled in Medicare?
Yes. Stephen J Shields MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stephen J Shields MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Stephen J Shields MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stephen J Shields MD PA was last updated on October 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Stephen J Shields Md Pa · NPI 1962653394
Internal Medicine organization in Clearwater, Florida. Organization record, active in the CMS NPPES registry since October 3, 2008.
## Identity
- **NPI:** 1962653394 (Entity type: Organization)
- **Enumerated:** October 3, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Stephen Shields, PHYSICIAN
## Practice location
- **Address:** 1211 REYNOLDS AVE, SUITE B, Clearwater, FL 33756-3353
- **Phone:** (727) 466-6564
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1962653394) · Data from the CMS NPPES public registry.