Active NPI
Sheina Theodore, MD
- Surgical Critical Care Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 287724
- Practice address
- 725 Albany Street
Suite 3a, Shapiro Building
Boston, MA 02118 - Phone
- (617) 414-4861
- Fax
- (617) 414-3617
- NPI assigned
- Mar 30, 2015
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 287724 | MA | |
| Surgical Critical Care Physician | 2086S0102X | 287724 | MA | Primary |
Addresses
Primary practice location
725 Albany Street
Suite 3a, Shapiro Building
Boston, MA 02118
Mailing address
960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690
Other practice location 1
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2442
Other practice location 2
11 Nevins St
Suite 201
Brighton, MA 02135
Phone (617) 414-4861
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3143532 | Medicaid | NH | |
| 110110892A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8605
732 Harrison Ave
Boston, MA 02118-2309
732 Harrison Ave FL 3
Preston BLDG
Boston, MA 02118-2309
Phone (617) 638-7350
Hospital & facility affiliations
- Boston Medical Center
- Good Samaritan Medical Center
- Cape Cod Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University General Surgical Associates, Inc. | Surgery | Current | Accepting new patients |
| BMC Affiliated Physicians, Inc. | Surgery | Current | Accepting new patients |
| Boston University General Surgical Associates, Inc.-QMC | Current | Accepting new patients | |
| Boston Medical Center Corporation | Past | Accepting new patients | |
| Boston University Medical Center Urologists, Inc. | Past | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
725 Albany St
Ste 3B
Boston, MA 02118
Phone (617) 638-8485
732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840
720 Harrison Ave
Ste 700
Boston, MA 02118
Phone (617) 638-8488
725 Albany St
Ste 3A
Boston, MA 02118
Phone (617) 414-4861
1 Boston Medical Ctr Pl
#1
Boston, MA 02118
Phone (617) 414-4929
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
Interoperability endpoints
- stheodore140592@direct.bmc.masshiway.net
Organizations & group practices 5
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.
-
- Surgery Physician
- Boston, MA
- NPI 1104865567
-
- Podiatrist
- Quincy, MA
- NPI 1396041356
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Urology Physician
- Boston, MA
- NPI 1871531772
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1669867412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVENUE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY STREET",
"address_2": "SUITE 3A, SHAPIRO BUILDING",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-4861",
"fax_number": "617-414-3617"
}
],
"practiceLocations": [
{
"address_1": "736 Cambridge St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-789-2442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Nevins St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-414-4861",
"fax_number": "617-414-3617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THEODORE",
"first_name": "SHEINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "287724",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MA",
"license": "287724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3143532",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110110892A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.