DR. SHEILA JANE TAN ZANORIA M.D.
NPI 1508182965
Internal Medicine - Pulmonary Disease in Waterbury, CT

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
170 GRANDVIEW AVE, WATERBURY, CT 06708(203) 759-3666(203) 759-3671 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2019, Aug 24, 2016, Jul 15, 2016 (3 updates tracked since 2016).

About Dr. Sheila Jane Tan Zanoria M.d. NPPES

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

DR. SHEILA JANE TAN ZANORIA M.D. (NPI 1508182965) is an individual pulmonary disease provider in Waterbury, Connecticut, licensed in Connecticut (62250) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterbury, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508182965
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHEILA JANE TAN ZANORIACredential: M.D.
Location Address170 GRANDVIEW AVEWaterbury, CT 06708
Mailing Address170 Grandview AveWaterbury, CT 06708-2525 · (203) 759-3666
Fax(203) 759-3671
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 9, 2010
Last NPPES UpdateJuly 19, 20193 updates tracked since enumeration
NPI 1508182965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 62250
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 62250 (CT)
170 GRANDVIEW AVE, Waterbury, CT 06708

Secondary Practice Location 1

Location 1170 Grandview AveWaterbury, CT 06708 · Phone (203) 759-3666 · Fax (203) 759-3671

Accepted Insurance

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. Sheila Jane Tan Zanoria M.d. 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 ID2668783564
PECOS Enrollment IDI20190617002252
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 16

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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
176 services125 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.
143 services71 patients
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.
127 services91 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
78 services38 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.
77 services59 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.
66 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06708 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

Reported Quality Measures

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%291 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%80 patients5/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%129 patients5/55-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
100%42 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers27 claims27 services$33.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers16 claims16 services$74.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims44 services$31.69 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers12 claims68 services$18.66 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$50.51 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers18 claims18 services$16.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Critical Care Medicine)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Nurse Practitioner (Adult Health)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Pulmonary Disease)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Critical Care Medicine)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Pulmonary Disease)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Pulmonary Disease)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Physician Assistant
170 GRANDVIEW AVE
WATERBURY, CT 06708
Nurse Practitioner (Family)
170 GRANDVIEW AVE
WATERBURY, CT 06708

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 Jane Zanoria's NPI number?

The NPI number for Sheila Jane Zanoria is 1508182965. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Sheila Jane Zanoria located?

Sheila Jane Zanoria practices at 170 Grandview Ave, Waterbury, CT 06708. The listed phone number is (203) 759-3666.

What is Sheila Jane Zanoria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sheila Jane Zanoria enrolled in Medicare?

Yes. Sheila Jane Zanoria 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.

What insurance does Sheila Jane Zanoria accept?

Health plans from Blue Cross and Blue Shield of Texas list Sheila Jane Zanoria 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.

When was this NPI record last updated?

The NPPES record for Sheila Jane Zanoria was last updated on July 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.