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SHEILAH A. BERNARD MD
NPI 1275518318
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
732 HARRISON AVENUE, PRESTON, 3RD FLOOR, BOSTON, MA 02118(617) 638-7490(617) 414-8742 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sheilah A. Bernard Md NPPES

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

SHEILAH A. BERNARD MD (NPI 1275518318) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (51932) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Chicago College Of Medicine And Surgery (1981).

NPPES Registry Identity

NPI1275518318
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSHEILAH A. BERNARDCredential: MD
Location Address732 HARRISON AVENUE, PRESTON, 3RD FLOORBoston, MA 02118-2309
Mailing Address720 Harrison Ave, Dob 5Boston, MA 02118-2371
Phone(617) 638-7490
Fax(617) 414-8742
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1981
Enumeration DateDecember 13, 2005
Last NPPES UpdateApril 15, 2014
✔ NPI 1275518318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 51932
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 51932 (MA)
732 HARRISON AVENUE, Boston, MA 02118
Open in Google Maps ↗

Other Identifiers 2

Medicare PINBX7222MA
Medicaid110064660AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Sheilah A. Bernard 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.

PECOS PAC ID8426130022
PECOS Enrollment IDI20080204000476
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sheilah Bernard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Boston Community Health Center
1.3 mi
Community Health
409 W BROADWAY
South Boston, MA 02127
  • Reassigned Medicare billing, Massachusetts enrollment
  • 136 clinicians in this Medicare group
NPI 1669447413 (617) 269-7500
Dothouse Health Inc.
2.4 mi
Community Health
1353 DORCHESTER AVE
Dorchester, MA 02122
  • Reassigned Medicare billing, Massachusetts enrollment
  • 98 clinicians in this Medicare group
NPI 1578514733 (617) 740-2200

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 8

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.
62 services50 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.
50 services38 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.
45 services25 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
33 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 15

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

DR. IVANIA RIZO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVENUE, PRESTON, 2ND FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-7470
EMELIA J. BENJAMIN MD, SCM
Internal Medicine (Cardiovascular Disease)
732 HARRISON AVENUE, PRESTON, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-7490
COURTNEY FAIELLA RN BCN-FNP
Nurse Practitioner (Family)
732 HARRISON AVENUE, PRESTON, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-7490
DR. JAMES L ROSENZWEIG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVENUE, PRESTON, 2ND FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-7470
DR. PHILIP E KNAPP MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVENUE, PRESTON, 2ND FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-7470
REMERCILE POLYNICE PIERRE NP
Nurse Practitioner (Family)
732 HARRISON AVENUE, PRESTON 5TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 414-6840
QI CHU
Student in an Organized Health Care Education/Training Program
732 HARRISON AVENUE, PRESTON FAMILY BUILDING 5TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 414-6840
DR. EWALD RAY MENDESZOON JR. DPM
Podiatrist (Foot Surgery)
732 HARRISON AVENUE, PRESTON 5TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 414-6840

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 Sheilah Bernard's NPI number?

The NPI number for Sheilah Bernard is 1275518318. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Sheilah Bernard located?

Sheilah Bernard practices at 732 Harrison Avenue Preston, 3rd Floor, Boston, MA 02118. The listed phone number is (617) 638-7490.

What is Sheilah Bernard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sheilah Bernard enrolled in Medicare?

Yes. Sheilah Bernard 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 Sheilah Bernard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheilah Bernard reassigns Medicare benefits to 2 organizations: South Boston Community Health Center (South Boston, MA) and Dothouse Health Inc. (Dorchester, MA). 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 Sheilah Bernard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheilah Bernard accept?

Health plans from Anthem Blue Cross and Blue Shield list Sheilah Bernard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sheilah Bernard affiliated with any hospitals?

According to CMS data, Sheilah Bernard is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Sheilah Bernard was last updated on April 15, 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.