Active NPI
Shelley Thiel, M.D.
- Otolaryngology Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD00021929
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96614 | Other | L&I | |
| 1018571 | Medicaid | WA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48733 | CA | MD | Marriage & Family Therapist |
| MD00021929 | WA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Otolaryngology | Current | Accepting new patients |
| Beaver Medical Group P C | Current | 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
- 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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Otolaryngology
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1255367611
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.