SHEILA NAFULA BLUMBERG M.D
NPI 1144425901
Surgery - Vascular Surgery in New York, NY

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
423 E 23RD ST, NEW YORK, NY 10010(212) 686-7500 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2021, Nov 6, 2020 (2 updates tracked since 2020).

About Sheila Nafula Blumberg M.d NPPES

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

SHEILA NAFULA BLUMBERG M.D (NPI 1144425901) is an individual vascular surgery provider in New York, New York, licensed in New York (259002) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1144425901
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameSHEILA NAFULA BLUMBERGCredential: M.D
Location Address423 E 23RD STNew York, NY 10010-5011
Mailing Address217 E 25th St, Apt 5dNew York, NY 10010-3024 · (917) 783-8160
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2007
Enumeration DateJune 20, 2007
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
NPI 1144425901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NY · 259002
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
423 E 23RD ST, New York, NY 10010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sheila Nafula Blumberg M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810287349
PECOS Enrollment IDI20160610001977
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.

Areas of Expertise CMS Part B claims 28

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
238 services195 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
177 services120 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
154 services144 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
117 services117 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
97 services50 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
75 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier103 claims162,600 services$6.17 avg. paid by Medicare
Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
2 suppliers20 claims20 services$743.47 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
2 suppliers18 claims35 services$312.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
423 E 23RD ST
NEW YORK, NY 10010
Respiratory Therapist, Registered (Critical Care)
423 E 23RD ST, RESPIRATORY CARE SERVICES ROOM 13095S
NEW YORK, NY 10010
Urology
423 E 23RD ST
NEW YORK, NY 10010
Respiratory Therapist, Registered (General Care)
423 E 23RD ST, RESPIRATORY CARE RM 13090S
NEW YORK, NY 10010
Social Worker (Clinical)
423 E 23RD ST
NEW YORK, NY 10010
Radiology (Vascular & Interventional Radiology)
423 E 23RD ST, RADIOLOGY SERVICE
NEW YORK, NY 10010
Social Worker
423 E 23RD ST
NEW YORK, NY 10010
Social Worker
423 E 23RD ST
NEW YORK, NY 10010

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 Sheila Blumberg's NPI number?

The NPI number for Sheila Blumberg is 1144425901. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Sheila Blumberg located?

Sheila Blumberg practices at 423 E 23rd St, New York, NY 10010. The listed phone number is (212) 686-7500.

What is Sheila Blumberg's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Sheila Blumberg enrolled in Medicare?

Yes. Sheila Blumberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sheila Blumberg affiliated with any hospitals?

According to CMS data, Sheila Blumberg is affiliated with Maimonides Medical Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Sheila Blumberg was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.