Shelly Rhodes Weisenfeld, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21225 Issued in AL

Practice address

774 Shades Mountain PLZ
Hoover, AL 35226-1513

Phone

(205) 979-3381

NPI assigned

Jul 6, 2006

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Shelly Marie Weisenfeld Former name

Medicare fee-for-service enrollment

Enrolled in AL, TX3 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

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Alabama School of Medicine, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Geneva County Healthcare Authority IncGroup PAC ID 0244222487, 23 clinicians

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Sycamore Lakeland LLCGroup PAC ID 2668915471, 22 clinicians

Hoover Medicine, Inc.Group PAC ID 9638244601, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Vincent's East Hospital, Birmingham, AL, CCN 010011
• Lakeland Community Hospital Hospital, Haleyville, AL, CCN 011311
• Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309
• Lakeland Community Hospital Hospital, Haleyville, AL, CCN 010125

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 38)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoover Medicine, Inc.

  • Primary Care Clinic/Center
  • Hoover, AL
  • NPI 1174738975
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment Care Compare group NPD
• Sycamore Lakeland LLC

  • Emergency Medicine Physician
  • Haleyville, AL
  • NPI 1184472789
  Medicare reassignment Care Compare group NPD
• Geneva County Healthcare Authority, Inc.

  dba Wiregrass Medical Center ER

  • Emergency Medicine Physician
  • Geneva, AL
  • NPI 1710752779
  Medicare reassignment Care Compare group
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Clay County Healthcare Authority

  dba Clay County Hospital and Nursing Home

  • General Acute Care Hospital
  • Ashland, AL
  • NPI 1477551554
  Medicare reassignment NPD
• Community Hospital Inc

  dba Tallassee Internal Medicine

  • Internal Medicine Physician
  • Tallassee, AL
  • NPI 1295040376
  Medicare reassignment NPD
• Erx-Bama, LLC

  • Emergency Medicine Physician
  • Ashland, AL
  • NPI 1992462790
  Medicare reassignment NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1437606605
  Medicare reassignment NPD
• Sycamore Physicians LLC

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1780372557
  Medicare reassignment NPD
• Tanner Intensive Medical Services Inc

  • Internal Medicine Physician
  • Wedowee, AL
  • NPI 1568477313
  Medicare reassignment NPD
• The Sylacauga Health Care Authority

  dba dba Coosa Valley Medical Center

  • Family Medicine Physician
  • Sylacauga, AL
  • NPI 1124235320
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Geneva County Healthcare Authority, Inc.

  dba Wiregrass Medical Center

  • Critical Access Hospital
  • Geneva, AL
  • NPI 1134955370
  Care Compare affiliation
• Lakeland Community Hospital, Inc.

  dba Lakeland Community Hospital

  • Critical Access Hospital
  • Haleyville, AL
  • NPI 1275600967
  Care Compare affiliation
• St. Vincent's East

  dba Ascension St. Vincent's East

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841308020
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1063444644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 SHADES MOUNTAIN PLZ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261513",
            "telephone_number": "205-979-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 SHADES MOUNTAIN PLZ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261513",
            "telephone_number": "205-979-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Mount Olive Road",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350714654",
            "country_code": "US",
            "telephone_number": "205-631-3452",
            "fax_number": "205-631-3173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "774 Shades Mountain Plz",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352261513",
            "country_code": "US",
            "telephone_number": "205-979-3381",
            "fax_number": "205-979-3726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISENFELD",
        "first_name": "SHELLY",
        "middle_name": "RHODES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "21225",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-96752",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106246",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1063444644",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "WEISENFELD",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Webb, PHARM.D
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• Erinne Weber, PHARM D
• Wecare TLC-Hoover
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• Anna Ray Wertheim, RPH
• Brandon William Wertz
• Kimberly Westbrook

• Family Medicine Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.