DR. DARA SHALOM
NPI 1245498518
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Great Neck, NY

Active since May 23, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
865 NORTHERN BLVD STE 202, GREAT NECK, NY 11021(516) 622-5114 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dara Shalom NPPES

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

DR. DARA SHALOM (NPI 1245498518) is an individual urogynecology and reconstructive pelvic surgery provider in Great Neck, New York, licensed in New York (253305) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1245498518
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameDR. DARA SHALOM
Location Address865 NORTHERN BLVD STE 202Great Neck, NY 11021-5310
Mailing Address865 Northern Blvd Ste 202Great Neck, NY 11021-5310
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 23, 2008
Last NPPES UpdateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
NPI 1245498518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in NY · 253305
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
865 NORTHERN BLVD STE 202, Great Neck, NY 11021

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. Dara Shalom 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 ID3971627555
PECOS Enrollment IDI20100903000127
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 15

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.
817 services487 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
348 services311 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.
320 services261 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.
189 services189 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
120 services113 patients
Pessary, reusable, non rubber, any type A4562
A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.
94 services79 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
865 NORTHERN BLVD STE 202
GREAT NECK, NY 11021
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
865 NORTHERN BLVD STE 202
GREAT NECK, NY 11021
Obstetrics & Gynecology
865 NORTHERN BLVD STE 202
GREAT NECK, NY 11021

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 Dara Shalom's NPI number?

The NPI number for Dara Shalom is 1245498518. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is Dara Shalom located?

Dara Shalom practices at 865 Northern Blvd Ste 202, Great Neck, NY 11021. The listed phone number is (516) 622-5114.

What is Dara Shalom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Dara Shalom enrolled in Medicare?

Yes. Dara Shalom 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 Dara Shalom affiliated with any hospitals?

According to CMS data, Dara Shalom is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Dara Shalom was last updated on November 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.