Shelley E Wertheim, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

162959 Issued in NY

Practice address

61 E 77TH St
New York, NY 10075-1817

Phone

(212) 772-3111

Fax

(212) 861-1796

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Diagnostic Radiology

Education

State University of New York Downstate Medical Center, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.08 of 100Reported as group

Quality

62.84

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807
  Medicare reassignment Care Compare group NPD
• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115
  Medicare reassignment NPD
• New York Private Medical Imaging Practice, PLLC

  • Specialist
  • New York, NY
  • NPI 1740459593
  Medicare reassignment NPD
• North Shore Health System Medical Faculty Group Practice Inc

  • Hematology & Oncology Physician
  • New Hyde Park, NY
  • NPI 1003409061
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1225026560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751817",
            "telephone_number": "212-772-3111",
            "fax_number": "212-861-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751817",
            "telephone_number": "212-772-3111",
            "fax_number": "212-861-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHEIM",
        "first_name": "SHELLEY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "162959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Werter, DPM
• Aditi Sinha Werth, PH.D.
• Alina D. Wertheim, O.D.
• Chelsea Ilana Wertheim, M.S.
• Joan Wertheim, PHD
• Benjamin Zachary Wertheimer, M.D.
• Vincent John Werthmann, MD
• Rebecca Wertkin, LCSW
• Brooke Hodes Wertz, MD, MPH
• Leticia A Wescott

• Diagnostic Radiology Physician in New York, NY
• Providers in New York, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.