DR. RONALD LEWIS SHAM M.D.
NPI 1235178500
Internal Medicine - Hematology in Rochester, NY

Q: What is Ronald Sham's NPI number?

The NPI number for Ronald Sham is 1235178500. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Ronald Sham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Sham was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621(585) 922-4020(585) 922-4622 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Ronald Lewis Sham M.d. NPPES

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

DR. RONALD LEWIS SHAM M.D. (NPI 1235178500) is an individual hematology provider in Rochester, New York, licensed in New York (162932) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235178500

Entity TypeIndividualMale

Primary Taxonomy207RH0000X

Provider Legal NameDR. RONALD LEWIS SHAMCredential: M.D.

Location Address1425 PORTLAND AVE, BOX 242Rochester, NY 14621-3001

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553

Phone(585) 922-4020

Fax(585) 922-4622

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 1984

Enumeration DateJune 5, 2006

Last NPPES UpdateApril 9, 2019

✔ NPI 1235178500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0000X

License✔ Licensed in NY · 162932

Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

1425 PORTLAND AVE, Rochester, NY 14621

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11415 Portland Ave Ste 500Rochester, NY 14621-3043 · Phone (585) 922-5700 · Fax (585) 922-5775

Location 220 Hagen Dr Ste 100Rochester, NY 14625-2665 · Phone (585) 922-4020 · Fax (585) 922-4622

Other Identifiers 1

Medicaid01177884NY

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

Dr. Ronald Lewis Sham 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 ID9739222837

PECOS Enrollment IDI20100211000092

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 3

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.

46 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

28 services14 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.

23 services11 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

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.

DR. NIAZ AHMED D.D.S.

Dentist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4000

DR. BRIAN JOHN THOMAS D.O.

Anesthesiology

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4159

LISA NICOLE FRONCZAK PA-C

Physician Assistant

1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621

Monroe County (585) 922-4000

ANDREW ROTANDO DO

Emergency Medicine

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-3469

ALEXANDER VAZZANO MD

Emergency Medicine

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4638

AMY BODROG MD

Internal Medicine (Hematology)

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4020

NUMRA ASLAM BAJWA MD

Hospitalist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-5067

DR. PRAKASH UPRETI MD

Hospitalist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (295) 029-8769

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 Ronald Sham's NPI number?

The NPI number for Ronald Sham is 1235178500. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Ronald Sham located?

Ronald Sham practices at 1425 Portland Ave Box 242, Rochester, NY 14621. The listed phone number is (585) 922-4020.

What is Ronald Sham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Ronald Sham enrolled in Medicare?

Yes. Ronald Sham 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 Ronald Sham affiliated with any hospitals?

According to CMS data, Ronald Sham is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Sham was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.