SHEILA EDITH HUNTER WOODHOUSE MD
NPI 1285620625
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Q: 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.

Q: What is Sheila Woodhouse's specialty?

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

Q: 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.

Active since September 21, 2005PECOS Enrolled

72.86/100

CMS Quality Rating

2630 HOLME AVE STE 200, PHILADELPHIA, PA 19152(215) 332-3972 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 31, 2019, Oct 23, 2018 (2 updates tracked since 2018).

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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

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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, billing reassignment, and ordering and referring status from CMS.

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

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

Medicare enrollment records show Sheila Woodhouse reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Health Mid-Atlantic Medical Group

0.2 mi

Family Medicine

2701 HOLME AVE STE 302
Philadelphia, PA 19152

Reassigned Medicare billing, Pennsylvania enrollment
646 clinicians in this Medicare group

NPI 1043958069 (267) 957-7005

Union Hospital Of Cecil County, Inc.

52 mi

Urology

137 W HIGH ST STE 2B
Elkton, MD 21921

Reassigned Medicare billing, Maryland enrollment
512 clinicians in this Medicare group

NPI 1407607450 (410) 398-0451

Sinai Hospital Of Baltimore Inc

94 mi

Infectious Disease

849 FAIRMOUNT AVE STE 100B
Towson, MD 21286

Reassigned Medicare billing, Maryland enrollment
664 clinicians in this Medicare group

NPI 1669182499 (410) 601-9000

St Agnes Healthcare Inc

102 mi

Internal Medicine

900 CATON AVE
Baltimore, MD 21229

Reassigned Medicare billing, Maryland enrollment
372 clinicians in this Medicare group

NPI 1144250176 (667) 234-2149

Dimensions Healthcare Associates Inc

119 mi

Internal Medicine

7350 VAN DUSEN RD STE 260
Laurel, MD 20707

Reassigned Medicare billing, District of Columbia enrollment
328 clinicians in this Medicare group

NPI 1487714168 (410) 763-8787

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 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 5

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary 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, MD

2/5 CMS rating

OwnershipVoluntary 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, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210032

Location106 Bow StreetElkton, MD 21921 · Cecil County

Birthing friendly

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210033

Location200 Memorial AvenueWestminster, MD 21157 · Carroll County

Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210040

Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County

Emergency services

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 practice

Quality

60.18

Promoting Interoperability

Improvement Activities

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.

NAZARETH PHYSICIAN SERVICES, INC.

Internal Medicine (Cardiovascular Disease)

2630 HOLME AVE STE 200
PHILA, PA 19152

Philadelphia County (215) 335-3972

NAZARETH PHYSICIAN SERVICES, INC.

Orthopaedic Surgery