Stephen Richard Shively, D.O.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

02007116A Issued in IN

Practice address

1 Memorial SQ Ste 2100
Greenfield, IN 46140-1380

Phone

(317) 477-6683

NPI assigned

Mar 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Marian University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
• Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1336252451
  Medicare reassignment Care Compare group NPD
• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1255418356
  Medicare reassignment NPD
• Hancock Regional Hospital

  • Surgery Physician
  • Greenfield, IN
  • NPI 1114016987
  NPD
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1700291143
  NPD
• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Terre Haute, IN
  • NPI 1285433953
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1467485003
  Care Compare affiliation
• Suburban Home Health, LLC

  • Home Health Agency
  • Noblesville, IN
  • NPI 1598872939
  Care Compare affiliation

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1417497819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQ STE 2100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401380",
            "telephone_number": "317-477-6683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Northwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781381",
            "country_code": "US",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "02007116A",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102207029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.shively.1@29985.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena address",
            "affiliationName": "Orthopaedics-Indianapolis, Inc",
            "address_1": "1 Memorial Sq Ste 2100",
            "city": "Greenfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461401380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pia Shabazz
• Gary C Sharp, M.D.
• Cheryl Shaw, RD
• Corri Shepherd
• Michael Patrick Shields
• Lori Lynn Shugars, OT
• Joan Siders
• Valerie Joy Sikes
• Trupti Sinkar
• Elizabeth Alice Sirois, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.