Individual provider Active NPI

Elisabeth Cleary Shearon, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hammond, IN
National Provider Identifier
1568455467
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01057583A Issued in IN
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

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000647656OtherINBC/BS
351173213OtherINISPAT/INLAND
5496757OtherINCCN
351173213OtherINHFN
01630255OtherILBC/BC
8126697OtherINCIGNA
P00816101OtherINRAILROAD MEDICARE
200440730MedicaidIN
297664OtherINBC/BS
351173213OtherINSAGAMORE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100430000548 IN Practitioner - Pathology 2668500257 Reassigns benefits to 1 organization
I20110217000828 IL Practitioner - Pathology 2668500257 Reassigns benefits to 1 organization

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
Pathology Consultants IncGroup PAC ID 2466352208, 20 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as group
Quality
81.15
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Consultants Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2003 Accepting new patients
Pathology Consultants Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2003 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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

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

Verify at the official NPI Registry.