Active NPI
Adelle Sharon Iusim, MD
- Emergency Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 302179
- Practice address
- 1400 Pelham Pkwy S BLDG 6
Bronx, NY 10461 - Phone
- (718) 918-5820
- NPI assigned
- Apr 15, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.36281 | AL | |
| Emergency Medicine Physician | 207P00000X | 35.136490 | OH | |
| Emergency Medicine Physician | 207P00000X | 302179 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S BLDG 6
Bronx, NY 10461
Mailing address
1400 Pelham Pkwy S BLDG 6
Bronx, NY 10461-1119
Other practice location 1
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500
Other practice location 2
100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700
Other practice location 3
6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3410
Other practice location 4
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3211
Other practice location 5
450 Washington Jackson Rd Ste F
Eaton, OH 45320-8699
Phone (937) 456-8376
Other practice location 6
1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 401-6228
Other practice location 7
600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7010
Other practice location 8
1400 Pelham Pkwy S Bldg 6
Bronx, NY 10461
Phone (718) 918-5820
Other practice location 9
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500
Other practice location 10
8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3338
Other practice location 11
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791
Other practice location 12
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ponce School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1468 Madison Ave
New York, NY 10029-6508
Phone (212) 987-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.36281 | AL | MD | Emergency Medicine Physician |
| 302179 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Emergency Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Emergency Medicine | Current | Accepting new patients |
| Jacobi Medical Center Ed | Past | Accepting new patients |
Locations
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1440 Madison Ave
New York, NY 10029
Phone (212) 241-5561
1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
234 E 85th St
New York, NY 10028
Phone (212) 241-6585
638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 9
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.
-
dba Rehabilitation Fluoroscopy Medicine Department of Mount Sinai
- Rehabilitation Practitioner
- New York, NY
- NPI 1477899078
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
dba FPA Urgent Care Center
- Emergency Medicine Physician
- New York, NY
- NPI 1124392238
-
dba Mount Sinai Now
- Emergency Medicine Physician
- New York, NY
- NPI 1679083984
-
dba FPA Hospital Based MSMC Emergency Physicians
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
dba Emergency Medical Associates
- Emergency Medicine Physician
- New York, NY
- NPI 1346908662
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1023396801
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1619310125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S BLDG 6",
"city": "BRONX",
"state": "NY",
"postal_code": "104611119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S BLDG 6",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5820"
}
],
"practiceLocations": [
{
"address_1": "3535 Pentagon Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311705",
"country_code": "US",
"telephone_number": "937-702-4500",
"fax_number": "937-702-4509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Kettering Way",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "OH",
"postal_code": "450051155",
"country_code": "US",
"telephone_number": "937-458-4700",
"fax_number": "937-458-4737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6147 State Route 122",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450055201",
"country_code": "US",
"telephone_number": "513-261-3410",
"fax_number": "513-261-3419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454057538",
"country_code": "US",
"telephone_number": "937-723-3211",
"fax_number": "937-723-4609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Washington Jackson Rd Ste F",
"address_purpose": "LOCATION",
"city": "Eaton",
"state": "OH",
"postal_code": "453208699",
"country_code": "US",
"telephone_number": "937-456-8376",
"fax_number": "937-456-8377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1997 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454593811",
"country_code": "US",
"telephone_number": "937-401-6228",
"fax_number": "937-401-6447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453732928",
"country_code": "US",
"telephone_number": "937-980-7010",
"fax_number": "937-980-7019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Pelham Pkwy S Bldg 6",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10461",
"country_code": "US",
"telephone_number": "718-918-5820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1141 N Monroe Dr",
"address_purpose": "LOCATION",
"city": "Xenia",
"state": "OH",
"postal_code": "453851619",
"country_code": "US",
"telephone_number": "937-352-2500",
"fax_number": "937-352-3501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8701 Old Troy Pike",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241066",
"country_code": "US",
"telephone_number": "937-558-3338",
"fax_number": "937-558-3349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453427615",
"country_code": "US",
"telephone_number": "937-384-8791",
"fax_number": "937-384-8729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-395-8166",
"fax_number": "937-395-8347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IUSIM",
"first_name": "ADELLE",
"middle_name": "SHARON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.36281",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.136490",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "302179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.