Active NPI
Shamelia Yvette Loiseau, M.D.
- Neurology Physician
- Flushing, NY
National Provider Identifier
1417480278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 323721
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-2000
- NPI assigned
- Apr 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 323721 | NY | Primary |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
10 Halletts PT Apt 1043
Astoria, NY 11102-4686
Phone (917) 482-3050
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | agt9013@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Rochester School of Medicine and Dentistry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-2000
Hospital & facility affiliations
- M J H S Hospice and Palliative Care, Inc
- New York-Presbyterian/Queens
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Single Specialty | Current | Accepting new patients |
| Access Telecare, PLLC | Single Specialty | Current | Accepting new patients |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Newyork-Presbyterian-Queens | Past | Accepting new patients |
Locations
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
5645 Main St
#100
Flushing, NY 11355
Phone (718) 670-1180
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- agt9013@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
Single Specialty
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
CT, NY, Single Specialty
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- New York, NY
- NPI 1770669038
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1417480278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HALLETTS PT APT 1043",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024686",
"telephone_number": "917-482-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOISEAU",
"first_name": "SHAMELIA",
"middle_name": "YVETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "323721",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agt9013@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.