DR. TRUDY M SHADY (MD) – Pulmonary Disease Physician, NPI 1417940354

DR. TRUDY M SHADY (MD) is a healthcare provider. based in Belleville, Illinois. specializing in Pulmonary Disease Physician. They hold the professional credentials MD. They hold a License No. R3L47 (MO). The NPI Number for DR. TRUDY M SHADY (MD) is 1417940354

Main info

Female
Name
DR. TRUDY M SHADY (MD)
NPI
1417940354
Phone
(618) 257-4644
Address
4500 MEMORIAL DR
Enumeration Date
25 August 2005
Last Update Date
2 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. TRUDY M SHADY (MD)

  • Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    BELLEVILLE, IL 622265360

    Phone: (618) 257-4644

    Fax: (618) 257-6946

    Type: Mailing

  • Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    BELLEVILLE, IL 622265363

    Phone: (618) 233-2220

    Fax: (618) 233-2555

    Type: Location

  • 2044 Madison Avenue

    Suite 25

    Granite City, IL 62040

    Phone: (618) 798-8600

    Fax: (618) 798-8605

    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: 2021-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150710002523IPulmonary DiseaseNDTBD
I20171003004894IPulmonary DiseaseMOTBD
I20210622000578IInternal MedicineVATBD

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
94729Test to examine how well the lungs exchange gases4646$0
94010Test to measure expiratory airflow and volume3535$0
94726Test to determine lung volumes using sensors2929$0
99214Established patient office or other outpatient visit, 30-39 minutes2623$0
94060Test to measure expiratory airflow and volume changes before and after medication administration2222$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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Reviews

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Frequently asked questions

Where can patients find DR. TRUDY M SHADY (MD)'s NPI?
You can confirm DR. TRUDY M SHADY (MD) with NPI 1417940354; it appears in the national provider directory.
Is DR. TRUDY M SHADY (MD) currently active in the NPI registry?
CMS-published data lists DR. TRUDY M SHADY (MD) as an active registrant.
Does DR. TRUDY M SHADY (MD) list a primary specialty?
If you are matching referrals, note Pulmonary Disease Physician for DR. TRUDY M SHADY (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. TRUDY M SHADY (MD)?
We surface Belleville, Illinois for DR. TRUDY M SHADY (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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