Individual provider Active NPI

Nicholas John Shea, MD, MS

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Stamford, CT
National Provider Identifier
1790149086
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
79300 Issued in CT
Practice address
1 Hospital PLZ FL 2
Stamford, CT 06902-3602
Phone
(203) 276-4440
Fax
(203) 276-4401
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 295509 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 79300 CT Primary
Surgery Physician 208600000X 295509 NY

Addresses

Primary practice location

1 Hospital PLZ FL 2
Stamford, CT 06902-3602

Mailing address

1 Hospital PLZ FL 2
Stamford, CT 06902-3602
Phone (203) 276-4440

Other practice location 1

177 Fort Washington Ave
7-435
New York, NY 10032-3733
Phone (212) 304-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220822000473 NJ Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 2365789815 Reassigns benefits to 2 organizations
I20241120003419 NY Practitioner - Cardiac Surgery 2365789815 Reassigns benefits to 1 organization
I20250114003290 CT Practitioner - Cardiac Surgery 2365789815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Columbia University College of Physicians and Surgeons, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

29 Hospital PLZ
Suite 501
Stamford, CT 06902-3602
Phone (203) 276-4400

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Surgical Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 15, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 31, 2024 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Jan 6, 2025 Accepting new patients
Practice Associates Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 31, 2024 Accepting new patients
Mid-Atlantic Surgical Assoc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 15, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Surgery Current Accepting new patients

Locations

29 Hospital Plz
Ste 501
Stamford, CT 06902
Phone (203) 276-2321

1 Hospital Plz
Fl 2
Stamford, CT 06902
Phone (203) 276-4400

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

100 Madison Ave
#C
Morristown, NJ 07960
Phone (973) 971-7300

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1944 State Route 33
Ste 201
Neptune, NJ 07753
Phone (732) 776-4618

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

177 Fort Washington Ave
Ste 7435GN
New York, NY 10032

177 Fort Washington Ave
#7435
New York, NY 10032
Phone (212) 305-2633

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nis7010@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: nshea30845@stamfordhealth.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 7

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 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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1790149086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ FL 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-4440",
            "fax_number": "203-276-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ FL 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-4440",
            "fax_number": "203-276-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Fort Washington Ave",
            "address_2": "7-435",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323733",
            "country_code": "US",
            "telephone_number": "212-304-7810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "295509",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CT",
            "license": "79300",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "295509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.