Individual provider Active NPI

Shelley Williams

  • Neurology with Special Qualifications in Child Neurology Physician
  • Syracuse, NY
National Provider Identifier
1740248590
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
235390 Issued in NY
Practice address
90 Presidential PLZ
4TH Floor
Syracuse, NY 13202-2240
Phone
(315) 464-4243
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 235390 NY Primary

Addresses

Primary practice location

90 Presidential PLZ
4TH Floor
Syracuse, NY 13202-2240

Mailing address

90 Presidential PLZ
4TH Floor
Syracuse, NY 13202-2240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHP@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070928000159 PA Practitioner - Pediatric MedicinePractitioner - NeurologyPractitioner - Other (Physician) 6507870417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

11279 Perry Hwy
Wexford, PA 15090-9381
Phone (412) 432-3681

11360 Perry Hwy
Wexford, PA 15090-8333
Phone (724) 935-9900

117 Vip Dr
Wexford, PA 15090-6932
Phone (724) 935-1130

117 Vip Dr
Suite 120
Wexford, PA 15090-6934
Phone (412) 802-3043

119 Vip Dr
Suite 206
Wexford, PA 15090-7976
Phone (412) 641-6223

12680 Perry Hwy
FL 2
Wexford, PA 15090-8886
Phone (412) 748-5543

12680 Perry Hwy 201
Wexford, PA 15090-8683
Phone (412) 864-3420

12680 Perry Hwy 275
Wexford, PA 15090-8683
Phone (724) 720-4500

12680 Perry Hwy 2ND
Wexford, PA 15090-8683
Phone (412) 692-4400

2000 Corporate Dr
Wexford, PA 15090-7611
Phone (412) 232-5616

3000 Stonewood Dr
Suite 200
Wexford, PA 15090-8317
Phone (724) 934-5520

519 Penn Ave
Suite 206
Turtle Creek, PA 15145-2082
Phone (412) 823-3121

9000 Brooktree Rd
Suite 200
Wexford, PA 15090-9288
Phone (724) 933-1320

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2007 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2007 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3705 Desoto St
Pittsburgh, PA 15213
Phone (412) 692-5260

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1740248590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLZ",
            "address_2": "4TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLZ",
            "address_2": "4TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022240",
            "telephone_number": "315-464-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "235390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHP@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.