Individual provider Active NPI

Ronald Lewis Sham, M.D.

  • Hematology (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1235178500
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
162932 Issued in NY
Practice address
1425 Portland Ave
Box 242
Rochester, NY 14621-3001
Phone
(585) 922-4020
Fax
(585) 922-4622
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 162932 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Box 242
Rochester, NY 14621-3001

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

Other practice location 1

1415 Portland Ave Ste 500
Rochester, NY 14621-3043
Phone (585) 922-5700

Other practice location 2

20 Hagen Dr Ste 100
Rochester, NY 14625-2665
Phone (585) 922-4020

Other identifiers 1

IdentifierTypeStateIssuer
01177884MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100211000092 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9739222837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Pennsylvania State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary M. Gooley Hemophilia Center IncGroup PAC ID 8325225527, 6 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1415 Portland Ave
Suite 500
Rochester, NY 14621-3043
Phone (585) 922-5700

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mary M. Gooley Hemophilia Center Inc CurrentSince Apr 12, 2011 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2016 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Sep 14, 2011 Accepting new patients
Newark Wayne Community Hospital CurrentSince Sep 14, 2011 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1425 Portland Ave
#242
Rochester, NY 14621
Phone (585) 922-3662

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

20 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 922-4020

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1415 Portland Ave
Ste 500
Rochester, NY 14621
Phone (585) 922-5700

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: rsham33478@direct.rochesterregional.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1235178500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "address_2": "BOX 242",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-4020",
            "fax_number": "585-922-4622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Portland Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213043",
            "country_code": "US",
            "telephone_number": "585-922-5700",
            "fax_number": "585-922-5775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hagen Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252665",
            "country_code": "US",
            "telephone_number": "585-922-4020",
            "fax_number": "585-922-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAM",
        "first_name": "RONALD",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NY",
            "license": "162932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01177884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.