Individual provider Active NPI

Shirley Sheth, D.O

  • Emergency Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1033362272
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036119237 Issued in IL
Practice address
3800 Saint Mary Rd
Valparaiso, IN 46383-3986
Phone
(817) 657-8677
NPI assigned
Oct 31, 2008
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02003526A IN
Emergency Medicine Physician 207P00000X 036119237 IL Primary

Addresses

Primary practice location

3800 Saint Mary Rd
Valparaiso, IN 46383-3986

Mailing address

3800 Saint Mary Rd
Valparaiso, IN 46383-3986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090821000400 IN Practitioner - Emergency Medicine 7012061252 Reassigns benefits to 2 organizations
I20110525000114 IL Practitioner - Emergency Medicine 7012061252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

10215 Broadway
FL 1
Crown Point, IN 46307-8001
Phone (219) 661-6081

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036119237ILMDEmergency Medicine Physician
02003526AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Community Care Network Inc CurrentSince Dec 1, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Aug 11, 2018 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Aug 11, 2018 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Aug 11, 2018 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Indiana Physician Services LLC Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3800 Saint Mary Rd
Valparaiso, IN 46383
Phone (219) 286-3700

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1033362272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986",
            "telephone_number": "817-657-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "SHIRLEY",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02003526A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036119237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.