ELAINE SHUM M.D.
NPI 1164716296
Internal Medicine - Hematology & Oncology in New York, NY

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1000 10TH AVE, NEW YORK, NY 10019(212) 523-4000 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elaine Shum M.d. NPPES

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

ELAINE SHUM M.D. (NPI 1164716296) is an individual hematology & oncology provider in New York, New York, licensed in New York (272326) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1164716296
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameELAINE SHUMCredential: M.D.
Location Address1000 10TH AVENew York, NY 10019-1147
Mailing Address1000 10th AveNew York, NY 10019-1147 · (212) 523-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 6, 2011
Last NPPES UpdateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
NPI 1164716296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 272326
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1000 10TH AVE, New York, NY 10019

Secondary Practice Location 1

Location 1160 E 34th St Fl 8New York, NY 10016-4744 · Phone (212) 731-6363

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

Elaine Shum 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 ID3971874041
PECOS Enrollment IDI20180216001630
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 4

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 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.
194 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
126 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

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 10019 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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

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.

Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019

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 Elaine Shum's NPI number?

The NPI number for Elaine Shum is 1164716296. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Elaine Shum located?

Elaine Shum practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-4000.

What is Elaine Shum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Elaine Shum enrolled in Medicare?

Yes. Elaine Shum 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 Elaine Shum affiliated with any hospitals?

According to CMS data, Elaine Shum is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Elaine Shum was last updated on September 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.