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DR. SHIRA WIEDER MD
NPI 1104211580
Dermatology in Bronx, NY

Active since April 01, 2015PECOS Enrolled
3333 HENRY HUDSON PKWY APT 1B, BRONX, NY 10463(718) 543-0900 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2019, Oct 3, 2019, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Shira Wieder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIRA WIEDER MD (NPI 1104211580) is an individual dermatology provider in Bronx, New York, licensed in New York (298369) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2015).

NPPES Registry Identity

NPI1104211580
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SHIRA WIEDERCredential: MD
Location Address3333 HENRY HUDSON PKWY APT 1BBronx, NY 10463-3235
Mailing Address3333 Henry Hudson Pkwy Apt 1bBronx, NY 10463-3235 · (718) 543-0900
Phone(718) 543-0900
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateOctober 30, 20193 updates tracked since enumeration
✔ NPI 1104211580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 298369
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3333 HENRY HUDSON PKWY APT 1B, Bronx, NY 10463
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shira Wieder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113263443
PECOS Enrollment IDI20200116001525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Shira Wieder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
1.8 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Physician Affiliate Group Of New York PC
5.1 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Philip Fried MD PLLC
12 mi
Procedural Dermatology
20 OLD MAMARONECK RD
White Plains, NY 10605
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1265869077 (914) 949-6070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shira Wieder's NPI number?

The NPI number for Shira Wieder is 1104211580. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Shira Wieder located?

Shira Wieder practices at 3333 Henry Hudson Pkwy Apt 1B, Bronx, NY 10463. The listed phone number is (718) 543-0900.

What is Shira Wieder's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shira Wieder enrolled in Medicare?

Yes. Shira Wieder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shira Wieder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shira Wieder reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Physician Affiliate Group Of New York PC (New York, NY) and Philip Fried MD PLLC (White Plains, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shira Wieder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shira Wieder affiliated with any hospitals?

According to CMS data, Shira Wieder is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Shira Wieder was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.