Individual provider Active NPI

Shelley Thiel, M.D.

  • Otolaryngology Physician
  • Redlands, CA
National Provider Identifier
1386682896
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD00021929 Issued in WA
Practice address
259 Terracina Blvd
Redlands, CA 92373-4847
Phone
(909) 328-5400
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD00021929 WA Primary

Addresses

Primary practice location

259 Terracina Blvd
Redlands, CA 92373-4847

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

7000 Boulder Ave
Highland, CA 92346-3348
Phone (909) 862-1191

Other identifiers 2

IdentifierTypeStateIssuer
96614OtherL&I
1018571MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170110001901 CA Practitioner - Otolaryngology 7810992112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loma Linda University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

7000 Boulder Ave
Highland, CA 92346-3348
Phone (909) 862-1191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48733CAMDMarriage & Family Therapist
MD00021929WAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 1, 2026 Accepting new patients
Beaver Medical Group P C CurrentSince Dec 1, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group Otolaryngology CurrentSince Feb 1, 2026 Accepting new patients
Beaver Medical Group P C CurrentSince Dec 1, 2016 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Beaver Medical Group P C Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

7000 Boulder Ave
Highland, CA 92346

259 Terracina Blvd
Redlands, CA 92373
Phone (909) 328-5400

2 W Fern Ave
#1112
Redlands, CA 92373

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sthiel11150@epiclp.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1386682896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734847",
            "telephone_number": "909-328-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Boulder Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "CA",
            "postal_code": "923463348",
            "country_code": "US",
            "telephone_number": "909-862-1191",
            "fax_number": "909-862-7179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIEL",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00021929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "96614",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018571",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.