Individual provider Active NPI

Rebecca Ann Shields, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1811267255
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
283298 Issued in NY
Practice address
1497 3Rd Ave
Apt 3C
New York, NY 10028-2117
Phone
(914) 261-7128
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 283298 NY Primary

Addresses

Primary practice location

1497 3Rd Ave
Apt 3C
New York, NY 10028-2117

Mailing address

550 Park Ave
Apt 3C
New York, NY 10065-7369
Phone (212) 832-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161020001041 NY Practitioner - Ophthalmology 2264743756
I20220203001067 CT Practitioner - Ophthalmology 2264743756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of Central Connecticut PCGroup PAC ID 5597176834, 38 clinicians

Practice addresses (Care Compare)

2046 W Main St
Suite 2
Stamford, CT 06902-4523
Phone (203) 869-3082

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283298NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients
New Vision Cataract Center LLC Past Accepting new patients
Mark Fromer, MD PC Ophthalmology PastSince Sep 4, 2016 Accepting new patients

Locations

47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020

2046 W Main St
Ste 2
Stamford, CT 06902
Phone (203) 869-3082

2046 W Main St
Stamford, CT 06902
Phone (203) 635-2097

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

Interoperability endpoints

  • Direct secure messaging: rshields32687@direct.med.miami.edu
  • Direct secure messaging: rshields@refocus.intellechartdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1811267255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PARK AVE",
            "address_2": "APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657369",
            "telephone_number": "212-832-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 3RD AVE",
            "address_2": "APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282117",
            "telephone_number": "914-261-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "283298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.