Active NPI
Shelena Ali-Bynom, M.D.
- Obstetrics & Gynecology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 311539-01
- Practice address
- 121 Dekalb Ave
House Staff Administration
Brooklyn, NY 11201-5425 - Phone
- (718) 250-8000
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME167190 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 311539-01 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Ave
House Staff Administration
Brooklyn, NY 11201-5425
Mailing address
121 Dekalb Ave
Department of Obstetrics and Gunecology
Brooklyn, NY 11201-5425
Other practice location 1
1525 Lakeland Hills Blvd
Lakeland, FL 33805-3203
Phone (863) 284-6860
Other practice location 2
430 E Central Ave
Winter Haven, FL 33880-3050
Phone (863) 284-5000
Other practice location 3
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 846-6860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311539-01 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3015 Lakeland Highlands Rd
Lakeland, FL 33803
Phone (863) 284-6860
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 284-6860
1637 Shepherd Rd
Lakeland, FL 33811
Phone (863) 284-1626
430 E Central Ave
Winter Haven, FL 33880
Phone (863) 284-5061
Networks
- Freedom Health HMO Network
Interoperability endpoints
- salibynom53464@lrhs.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1306378583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"address_2": "DEPARTMENT OF OBSTETRICS AND GUNECOLOGY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"address_2": "HOUSE STAFF ADMINISTRATION",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-8000"
}
],
"practiceLocations": [
{
"address_1": "1525 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338053203",
"country_code": "US",
"telephone_number": "863-284-6860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 E Central Ave",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338803050",
"country_code": "US",
"telephone_number": "863-284-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1324 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054543",
"country_code": "US",
"telephone_number": "863-846-6860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI-BYNOM",
"first_name": "SHELENA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME167190",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "311539-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.