Active NPI
Teresa Scalise Sheahan, DO
- Pediatrics Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO-05448
- Practice address
- 1221 Pleasant St Ste 170
Des Moines, IA 50309-1424 - Phone
- (515) 241-4300
- NPI assigned
- Jan 19, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A11264 | CA | |
| Pediatrics Physician | 208000000X | DO-05448 | IA | Primary |
Addresses
Primary practice location
1221 Pleasant St Ste 170
Des Moines, IA 50309-1424
Mailing address
1221 Pleasant St Ste 170
Des Moines, IA 50309-1424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11264 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Pediatrics | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
1221 Pleasant St
Ste 170
Des Moines, IA 50309
Phone (515) 241-4300
1250 E 9th St
Des Moines, IA 50316
Phone (515) 241-4300
1250 E 9th St
Ste 200
Des Moines, IA 50316
Phone (515) 263-2632
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
Interoperability endpoints
- tsheahan719420@direct.unitypoint.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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Pediatrics
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- Des Moines, IA
- NPI 1487687232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1811292030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST STE 170",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST STE 170",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091424",
"telephone_number": "515-241-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAHAN",
"first_name": "TERESA",
"middle_name": "SCALISE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A11264",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "DO-05448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.