ALICE SHEA (M.D.) – Diagnostic Radiology Physician, NPI 1164868667

ALICE SHEA (M.D.) is a healthcare provider. based in East hartford, Connecticut. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD23720 (ME). The NPI Number for ALICE SHEA (M.D.) is 1164868667

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ALICE SHEA (M.D.)
NPI
1164868667
Phone
(860) 289-3375
Address
111 FOUNDERS PLZ STE 400
Enumeration Date
11 May 2013
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3027312888
Graduation Year
2013 (13 years ago)
PAC ID
3274898531
Group Practice PAC ID
6103800057
Professional Enrollment ID
I20220815003213
Address ID
DE197132140NE1000XLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

804 DIAGNOSTIC RADIOLOGY in CT

Provider Addresses for ALICE SHEA (M.D.)

  • 111 FOUNDERS PLZ STE 400

    EAST HARTFORD, CT 061083240

    Phone: (860) 289-3375

    Fax: (860) 783-5733

    Type: Mailing

  • 56 FRANKLIN ST

    WATERBURY, CT 06706

    Phone: (203) 709-6000

    Type: Location

  • 324 GANNETT DR

    STE 200

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Fax: (207) 482-7898

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 482-7800

    Type: Location

  • 629A E HILLSBORO BLVD

    DEERFIELD BEACH, FL 334413517

    Phone: (954) 698-9399

    Fax: (954) 698-9399

    Type: Mailing

  • 964 WASHINGTON ST

    BATH, ME 045302624

    Phone: (801) 888-1406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210614000711IDiagnostic RadiologyMETBD
I20220815003213IDiagnostic RadiologyDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
72148Mri scan of lower spinal canal without contrast696694$0
72141Mri scan of upper spinal canal without contrast213211$0
72146Mri scan of middle spinal canal without contrast5959$0
View full utilization report →

Insurance plans in this area (ZIP 06108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103800057View full group profile
NameSpecialtyState
Physician AssistantDE
Physical Therapist In Private PracticeDE
Physician AssistantDE
Physician AssistantDE
Physician AssistantDE
Orthopedic SurgeryDE
Physical Therapist In Private PracticeDE
Diagnostic RadiologyFL
Physician AssistantDE
P O D I A T R YDE

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALICE SHEA (M.D.)?
ALICE SHEA (M.D.) — NPI 1164868667 — is the standard way to identify this listing.
Can I rely on ALICE SHEA (M.D.) being an active provider?
As of the registry snapshot, ALICE SHEA (M.D.) is marked active.
What taxonomy line describes ALICE SHEA (M.D.)?
For research purposes, treat ALICE SHEA (M.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does ALICE SHEA (M.D.) list a practice location?
Patients near East Hartford, Connecticut may find ALICE SHEA (M.D.) in results; validate coverage separately.
Is the information about ALICE SHEA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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