NPIMap

Individual provider Active NPI

Jeffrey Sheedy, DO

  • Orthopaedic Surgery Physician
  • Rochester, IN
National Provider Identifier
1235120759
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
02002791A Issued in IN
Practice address
1430 E 9TH St
Rochester, IN 46975-8931
Phone
(574) 223-9525
Fax
(574) 223-5847
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Osteopathy, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlawn Hospital 30 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931

1430 E 9TH St
Rochester, IN 46975-8931

Hospital & facility affiliations

  • Woodlawn Hospital Hospital, Rochester, IN, CCN 151313
  • Pulaski Memorial Hospital Hospital, Winamac, IN, CCN 151305

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20041006000295 IN Practitioner - Orthopedic Surgery 2264337880 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002791AINMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlawn Hospital CurrentSince Dec 31, 2025 Accepting new patients
Woodlawn Hospital Orthopaedic Surgery CurrentSince Dec 1, 2008 Accepting new patients
Lifeplex Diagnostic Center, L.L.C. Current Accepting new patients
Woodlawn Hospital Current Accepting new patients
Woodlawn Hospital CurrentSince Dec 1, 2008 Accepting new patients
Woodlawn Hospital Past Accepting new patients
Woodlawn Hospital Orthopaedic Surgery Past Accepting new patients

Locations

1430 E 9th St
Rochester, IN 46975
Phone (574) 223-9393

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

Interoperability endpoints

  • Direct secure messaging: jsheedy80904@direct.parkviewexchange.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 02002791A IN
Orthopaedic Surgery Physician 207X00000X 02002791A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1430 E 9TH St
Rochester, IN 46975-8931

Mailing address

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 224-1044

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
200384260AMedicaidIN
P00444585OtherKSRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2014.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1235120759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-224-1044",
            "fax_number": "574-224-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-223-9525",
            "fax_number": "574-223-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEDY",
        "first_name": "JEFFREY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "02002791A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02002791A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200384260A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00444585",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.