SHEILA EDITH HUNTER WOODHOUSE MD
NPI 1285620625
Internal Medicine - Cardiovascular Disease in Philadelphia, PA
Active since September 21, 2005PECOS Enrolled
72.86/100
CMS Quality Rating
About Sheila Edith Hunter Woodhouse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEILA EDITH HUNTER WOODHOUSE MD (NPI 1285620625) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD056726L) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
NPI1285620625
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSHEILA EDITH HUNTER WOODHOUSECredential: MD
Location Address2630 HOLME AVE STE 200Philadelphia, PA 19152-3004
Mailing Address41 University Dr Ste 300Newtown, PA 18940-1873
Phone(215) 332-3972
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 21, 2005
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1285620625 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in PA · MD056726L✔ Licensed in GA · 48744
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 ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 48744 (GA)
2630 HOLME AVE STE 200, Philadelphia, PA 19152
Secondary Practice Locations 3
Location 11468 Montreal RdTucker, GA 30084-6901 · Phone (770) 638-1400 · Fax (678) 916-4957
Location 21475 Jesse Jewell Pkwy NE Ste 300Gainesville, GA 30501-3806 · Phone (678) 430-3110 · Fax (678) 928-5955
Location 3771 Old Norcross Rd Ste 105Lawrenceville, GA 30046-4977 · Phone (678) 430-3110 · Fax (678) 928-5955
Other Identifiers 1
Medicaid00872341AGA
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Sheila Edith Hunter Woodhouse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
PECOS PAC ID4981655453
PECOS Enrollment IDI20230906002560, I20240904001826
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 10
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.
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
278 services208 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.
202 services114 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
181 services179 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.
82 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services63 patients
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Agnes Hospital
Acute Care Hospitals · Baltimore, MDOwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly
Sinai Hospital Of Baltimore
Acute Care Hospitals · Baltimore, MDOwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly
Union Hospital Of Cecil County
Acute Care Hospitals · Elkton, MDOwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly
University Of MD St Joseph Medical Center
Acute Care Hospitals · Towson, MDOwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19152 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.
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.
72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
60.18
Promoting Interoperability
95
Improvement Activities
40
Cost
48.84
Reported Quality Measures
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
87%409 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,810 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
59%1,627 patients3/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
87%474 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%84 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%883 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
11%104 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
74%1,146 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%883 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
69%883 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Cardiovascular Disease)
2630 HOLME AVE STE 200
PHILA, PA 19152
PHILA, PA 19152
Internal Medicine (Interventional Cardiology)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
Internal Medicine (Clinical Cardiac Electrophysiology)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
Internal Medicine (Cardiovascular Disease)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
Internal Medicine (Cardiovascular Disease)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
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 Sheila Woodhouse's NPI number?
The NPI number for Sheila Woodhouse is 1285620625. It was assigned to this individual provider in the NPPES registry on September 21, 2005.
Where is Sheila Woodhouse located?
Sheila Woodhouse practices at 2630 Holme Ave Ste 200, Philadelphia, PA 19152. The listed phone number is (215) 332-3972.
What is Sheila Woodhouse's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Sheila Woodhouse enrolled in Medicare?
Yes. Sheila Woodhouse is registered in the Medicare PECOS enrollment system.
Is Sheila Woodhouse affiliated with any hospitals?
According to CMS data, Sheila Woodhouse is affiliated with Saint Agnes Hospital, Sinai Hospital Of Baltimore, Union Hospital Of Cecil County and University Of MD St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Sheila Woodhouse was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sheila Edith Hunter Woodhouse, MD · NPI 1285620625
Cardiovascular Disease physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 21, 2005.
## Identity
- **NPI:** 1285620625 (Entity type: Individual)
- **Enumerated:** September 21, 2005
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD056726L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2630 HOLME AVE STE 200, Philadelphia, PA 19152-3004
- **Phone:** (215) 332-3972
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** August 29, 2024
- **Other identifiers:** Medicaid 00872341A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285620625) · Data from the CMS NPPES public registry.