Individual provider Active NPI

Shea M Pribyl, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Napa, CA
National Provider Identifier
1639336050
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
20A14720 Issued in CA
Practice address
1000 Trancas St
Napa, CA 94558-2906
Phone
(707) 257-4083
Fax
(707) 257-4168
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036134308 IL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 21271 MS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 20A14720 CA Primary

Addresses

Primary practice location

1000 Trancas St
Napa, CA 94558-2906

Mailing address

101 Bodin Cir
60 MDG/SGCH
Travis Afb, CA 94535-1809

Other practice location 1

101 Bodin Cir
101 Bodin Cir
Travis AFB, CA 94535-1809
Phone (707) 423-2500

Other practice location 2

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

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
I20170209000211 CA Practitioner - Thoracic Surgery 9133351992 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1860 Pennsylvania Ave
Fairfield, CA 94533-3590
Phone (707) 646-4114

1860 Pennsylvania Ave
Suite 120
Fairfield, CA 94533-3550
Phone (707) 646-4400

2773 Harris St
Suite D
Eureka, CA 95503-4866
Phone (714) 449-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)26
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14720CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036134308ILMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
21271MSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2024 Accepting new patients
Pribyl Montague Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2025 Accepting new patients
Northbay Health Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Northbay Healthcare Group CurrentSince Jan 31, 2017 Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2025 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Xue Feng Wang, M.D., LTD. PastSince Aug 1, 2017 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

2773 Harris St
Ste D
Eureka, CA 95503
Phone (707) 267-2070

1860 Pennsylvania Ave
Ste 110
Fairfield, CA 94533
Phone (707) 254-9693

1860 Pennsylvania Ave
Ste 120
Fairfield, CA 94533
Phone (707) 426-4696

2458 Hilborn Rd
Fairfield, CA 94534
Phone (707) 646-4400

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

450 Glass Ln
Ste C
Modesto, CA 95356

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

6 Woodland Rd
Ste 304
Saint Helena, CA 94574
Phone (707) 963-7200

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

101 Bodin Cir
Travis AFB, CA 94535
Phone (707) 423-3000

101 Bodin Cir
#60
Travis AFB, CA 94535
Phone (707) 423-5174

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

Interoperability endpoints

  • Direct secure messaging: spribyl@direct.mhg.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1639336050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "60 MDG/SGCH",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582906",
            "telephone_number": "707-257-4083",
            "fax_number": "707-257-4168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Cir",
            "address_2": "101 Bodin Cir",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-423-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Woodland Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749554",
            "country_code": "US",
            "telephone_number": "707-963-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIBYL",
        "first_name": "SHEA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036134308",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "21271",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "20A14720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.