SARAH-KIM SHIELDS (M.D.) – Diagnostic Radiology Physician, NPI 1114214202

SARAH-KIM SHIELDS (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 277219 (MA). The NPI Number for SARAH-KIM SHIELDS (M.D.) is 1114214202

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
SARAH-KIM SHIELDS (M.D.)
NPI
1114214202
Phone
(401) 444-2133
Address
593 EDDY ST
Enumeration Date
8 July 2011
Last Update Date
12 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082225200
Graduation Year
2011 (15 years ago)
PAC ID
2365733607
Group Practice PAC ID
8022097815
Professional Enrollment ID
I20190403002001
Address ID
MA027033143AT211XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:14State licenses:3Digital endpointsOther names

242 DIAGNOSTIC RADIOLOGY in RI

Provider Addresses for SARAH-KIM SHIELDS (M.D.)

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 444-2133

    Fax: (401) 444-5017

    Type: Mailing

  • 125 Metro Center Blvd Ste 2000

    Warwick, RI 028861785

    Phone: (401) 432-2520

    Fax: (401) 453-8220

    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: 2019-04-03

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
I20160616002466IDiagnostic RadiologyRITBD
I20190403002001IDiagnostic RadiologyMATBD

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
A9575Injection, gadoterate meglumine, 0.1 ml6,30036$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,70027$0
71045X-ray of chest, 1 view423394$0
74177Ct scan of abdomen and pelvis with contrast411403$0
70450Ct scan head or brain without contrast277270$0
View full utilization report →

Insurance plans in this area (ZIP 02903)

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Provider's Procedures

SARAH-KIM SHIELDS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYRI74177CT scan of abdomen and pelvis with contrast1212

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: 8022097815View full group profile
NameSpecialtyState
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
-RI
Diagnostic RadiologyMA
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic Radiology, Nuclear MedicineRI
Diagnostic RadiologyMA

Reviews

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Frequently asked questions

What unique ID ties claims to SARAH-KIM SHIELDS (M.D.)?
NPI 1114214202 is assigned to SARAH-KIM SHIELDS (M.D.) under the national enumeration system.
Is SARAH-KIM SHIELDS (M.D.)'s NPI currently valid?
The extract we use shows SARAH-KIM SHIELDS (M.D.) as active.
Does SARAH-KIM SHIELDS (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for SARAH-KIM SHIELDS (M.D.). Clinical services aligned with this taxonomy classification.
Where is SARAH-KIM SHIELDS (M.D.)'s primary listing?
We display Providence, Rhode Island because that is what the record indicates for SARAH-KIM SHIELDS (M.D.).
Is SARAH-KIM SHIELDS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1114214202. Always confirm identity and privileges with the practice and licensing boards.

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