NPIMap

Individual provider Active NPI

Sharon R Fine, M.D.

  • Body Imaging Physician
  • Drexel Hill, PA
National Provider Identifier
1700826609
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
MD070040L Issued in PA
Practice address
501 N Lansdowne Ave
DCMH
Drexel Hill, PA 19026-1114
Phone
(610) 394-1735
Fax
(610) 284-8312
NPI assigned
Jun 8, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD070040L PA Primary

Addresses

Primary practice location

501 N Lansdowne Ave
DCMH
Drexel Hill, PA 19026-1114

Mailing address

139 E Wynnewood Rd
Merion Station, PA 19066-1626
Phone (610) 667-0716

Other identifiers 1

IdentifierTypeStateIssuer
001956725MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040603001331 PA Practitioner - Diagnostic Radiology 5597747493 Reassigns benefits to 1 organization
I20250807002113 FL Practitioner - Diagnostic Radiology 5597747493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hahneman Medical College of the Pacific, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

139 E Wynnewood Rd
Merion Station, PA 19066-1626
Phone (904) 399-5550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD070040LPAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Radiology Services of Pinellas, Inc. Current Accepting new patients
Mori Bean and Brooks Inc Body Imaging CurrentSince Sep 30, 2025 Accepting new patients
Geisinger Clinic Selinsgrove Past Accepting new patients
Delco Radiologic Associates Past Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1700826609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E WYNNEWOOD RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661626",
            "telephone_number": "610-667-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "address_2": "DCMH",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-394-1735",
            "fax_number": "610-284-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "SHARON",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD070040L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001956725",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.