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SHEREENE IDRISS M.D.
NPI 1295969624
Dermatology in New York, NY

Active since May 13, 2009Opted out of Medicare · through Oct 1, 2026
IDRISS DERMATOLOGY, 80 W 40TH ST, 3RD FLOOR, NEW YORK, NY 10018(212) 612-1520(332) 216-3520 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Feb 8, 2019 (2 updates tracked since 2019).

About Shereene Idriss M.d. NPPES

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

SHEREENE IDRISS M.D. (NPI 1295969624) is an individual dermatology provider in New York, New York, licensed in New York (269568) and active in the NPI registry since May 2009. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295969624
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHEREENE IDRISSCredential: M.D.
Location AddressIDRISS DERMATOLOGY, 80 W 40TH ST, 3RD FLOORNew York, NY 10018-2682
Mailing Address80 W 40th St, Floor 3New York, NY 10018-2682 · (212) 612-1520 · Fax (332) 216-3520
Phone(212) 612-1520
Fax(332) 216-3520
Sole ProprietorYes
Enumeration DateMay 13, 2009
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
✔ NPI 1295969624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in NY · 269568✔ Licensed in NY · 269568-1
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
IDRISS DERMATOLOGY, New York, NY 10018
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shereene Idriss M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10018 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Shereene Idriss's NPI number?

The NPI number for Shereene Idriss is 1295969624. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Where is Shereene Idriss located?

Shereene Idriss practices at Idriss Dermatology 80 W 40th St, 3rd Floor, New York, NY 10018. The listed phone number is (212) 612-1520.

What is Shereene Idriss's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shereene Idriss enrolled in Medicare?

No. Shereene Idriss has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shereene Idriss was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.