Active NPI
Elisabeth Cleary Shearon, MD
- Anatomic Pathology & Clinical Pathology Physician
- Hammond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 01057583A
- Practice address
- 2434 Interstate Plaza Dr
Hammond, IN 46324-2671 - Phone
- (219) 989-3700
- Fax
- (219) 845-4088
- NPI assigned
- Aug 25, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036106782 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01057583A | IN | Primary |
Addresses
Primary practice location
2434 Interstate Plaza Dr
Hammond, IN 46324-2671
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000647656 | Other | IN | BC/BS |
| 351173213 | Other | IN | ISPAT/INLAND |
| 5496757 | Other | IN | CCN |
| 351173213 | Other | IN | HFN |
| 01630255 | Other | IL | BC/BC |
| 8126697 | Other | IN | CIGNA |
| P00816101 | Other | IN | RAILROAD MEDICARE |
| 200440730 | Medicaid | IN | |
| 297664 | Other | IN | BC/BS |
| 351173213 | Other | IN | SAGAMORE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Nebraska College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Creasy Lane
Lafayette, IN 47905-4972
Phone (219) 879-3586
2434 Interstate Plaza Dr
Hammond, IN 46324-2671
Phone (219) 989-3700
3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511
422 Franklin St
Michigan City, IN 46360-3385
Phone (219) 879-3586
600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4573
8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5867
Hospital & facility affiliations
- Franciscan Health Lafayette
- Franciscan Health Indianapolis
- Franciscan Health Michigan City
- Franciscan Health Munster
- Franciscan Health Olympia & Chicago Heights
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.98 of 100
- Quality
- 81.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Consultants Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Consultants Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
2434 Interstate Plaza Dr
Hammond, IN 46324
Phone (219) 989-3700
422 Franklin St
Michigan City, IN 46360
Phone (219) 879-3576
113 E 4th St
Michigan City, IN 46360
Phone (219) 873-3130
5700 Southwyck Blvd
Toledo, OH 43614
Interoperability endpoints
- eshearon64332@direct.franciscanalliance.org
Organizations & group practices 3
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.
-
dba Pci
- Anatomic Pathology & Clinical Pathology Physician
- Dyer, IN
- NPI 1972596864
-
dba Cip
- Anatomic Pathology & Clinical Pathology Physician
- Olympia Fields, IL
- NPI 1023001914
-
- Anatomic Pathology & Clinical Pathology Physician
- Valparaiso, IN
- NPI 1881852507
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Indianapolis Orthopedic Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
dba Franciscan Health - Indianapolis
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1568455467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 INTERSTATE PLAZA DR",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463242671",
"telephone_number": "219-989-3700",
"fax_number": "219-845-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARON",
"first_name": "ELISABETH",
"middle_name": "CLEARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036106782",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01057583A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000647656",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ISPAT/INLAND",
"identifier": "351173213",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5496757",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFN",
"identifier": "351173213",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BC",
"identifier": "01630255",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8126697",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00816101",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200440730",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "297664",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGAMORE",
"identifier": "351173213",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.