SHELLEY E WERTHEIM MD
NPI 1225026560
Radiology - Diagnostic Radiology in New York, NY
About Shelley E Wertheim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY E WERTHEIM MD (NPI 1225026560) is an individual diagnostic radiology provider in New York, New York, licensed in New York (162959) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shelley E Wertheim Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shelley Wertheim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 25 clinicians in this Medicare group
New City, NY 10956
- Reassigned Medicare billing, New York enrollment
- 210 clinicians in this Medicare group
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 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10075
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 Shelley Wertheim's NPI number?
The NPI number for Shelley Wertheim is 1225026560. It was assigned to this individual provider in the NPPES registry on October 11, 2005.
Where is Shelley Wertheim located?
Shelley Wertheim practices at 61 E 77th St, New York, NY 10075. The listed phone number is (212) 772-3111.
What is Shelley Wertheim's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Shelley Wertheim enrolled in Medicare?
Yes. Shelley Wertheim 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.
Which organizations bill Medicare for Shelley Wertheim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Wertheim reassigns Medicare benefits to 3 organizations: Lenox Hill Radiology & Medical Imaging Associates, PC (New York, NY), New York Private Medical Imaging Practice, PLLC (New York, NY) and Hudson Valley Radiology Associates PLLC (New City, 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 Shelley Wertheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shelley Wertheim was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Shelley E Wertheim, MD · NPI 1225026560
Diagnostic Radiology physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 11, 2005.
## Identity
- **NPI:** 1225026560 (Entity type: Individual)
- **Enumerated:** October 11, 2005
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 162959 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 61 E 77TH ST, New York, NY 10075-1817
- **Phone:** (212) 772-3111 · **Fax:** (212) 861-1796
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lenox Hill Radiology & Medical Imaging Associates, PC (NPI 1821036807, New York, NY); New York Private Medical Imaging Practice, PLLC (NPI 1740459593, New York, NY); Hudson Valley Radiology Associates PLLC (NPI 1174574115, New City, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 1984
## Record status
- **NPPES last updated:** April 30, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 78F361; Medicare UPIN E89088
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Source: [NPI Profile](https://npiprofile.com/npi/1225026560) · Data from the CMS NPPES public registry.