Individual provider Active NPI

Shira B Vadel, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1336235597
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045056 Issued in CT
Practice address
51 Schuyler Ave
Stamford, CT 06902-3730
Phone
(203) 327-1187
Fax
(203) 967-4218
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045056 CT Primary

Addresses

Primary practice location

51 Schuyler Ave
Stamford, CT 06902-3730

Mailing address

51 Schuyler Ave
Stamford, CT 06902-3730
Phone (203) 327-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070403000047 CT Practitioner - Internal Medicine 9133223027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

29 Hospital PLZ
Suite 605
Stamford, CT 06902-3602
Phone (203) 353-1427

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045056CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Primecare Medical LLP Internal Medicine Past Accepting new patients
Darien Signature Health, Inc. Internal Medicine Past Accepting new patients

Locations

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

555 Newfield Ave
Stamford, CT 06905
Phone (203) 323-1551

80 Mill River St
Ste 2400
Stamford, CT 06902
Phone (203) 348-9455

29 Hospital Plz
Ste 605
Stamford, CT 06902
Phone (203) 353-1427

51 Schuyler Ave
Stamford, CT 06902
Phone (203) 327-1187

Interoperability endpoints

  • Direct secure messaging: svadel24419@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1336235597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SCHUYLER AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023730",
            "telephone_number": "203-327-1187",
            "fax_number": "203-967-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SCHUYLER AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023730",
            "telephone_number": "203-327-1187",
            "fax_number": "203-967-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADEL",
        "first_name": "SHIRA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.