Individual provider Active NPI

Shari Seidman, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1689057945
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
291756 Issued in NY
Practice address
1111 Amsterdam Ave
New York, NY 10025
Phone
(212) 636-3375
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 134739 FL
Emergency Medicine Physician 207P00000X 291756 NY Primary

Addresses

Primary practice location

1111 Amsterdam Ave
New York, NY 10025

Mailing address

805 Channel Rd
Woodmere, NY 11598-1827
Phone (516) 754-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20200203001034 HI Practitioner - Emergency Medicine 2264746064 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windward Orthopaedic Group IncGroup PAC ID 9436245693, 6 clinicians
Oahu Emergency Physician Services LLCGroup PAC ID 5193132686, 9 clinicians

Practice addresses (Care Compare)

30 Aulike St
Suite 201
Kailua, HI 96734-2750
Phone (808) 261-4658

347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 536-2236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.29 of 100Reported as group
Quality
74.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134739FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Mar 23, 2020 Accepting new patients
Oahu Emergency Physician Services, LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Aug 31, 2020 Accepting new patients
Windward Orthopaedic Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Emergency Medicine CurrentSince Aug 31, 2020 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

30 Aulike St
Ste 201
Kailua, HI 96734
Phone (808) 261-4658

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: shari.seidman.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 6

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 2

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1689057945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CHANNEL RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981827",
            "telephone_number": "516-754-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-636-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "SHARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "134739",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "291756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.