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SHERA RAISEN M.D.
NPI 1669515649
Family Medicine in New York, NY

Active since February 15, 2007Opted out of Medicare · through Jan 1, 2028
535 5TH AVE RM 603, NEW YORK, NY 10017(646) 200-5750(833) 322-1167 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 27, 2019, Feb 29, 2016 (2 updates tracked since 2016).

About Shera Raisen M.d. NPPES

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

SHERA RAISEN M.D. (NPI 1669515649) is an individual family medicine provider in New York, New York, licensed in California (G077477) and active in the NPI registry since February 2007. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in West Hollywood.

NPPES Registry Identity

NPI1669515649
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHERA RAISENCredential: M.D.
Location Address535 5TH AVE RM 603New York, NY 10017-8009
Mailing Address535 5th Ave Rm 603New York, NY 10017-8009 · (646) 200-5750 · Fax (833) 322-1167
Phone(646) 200-5750
Fax(833) 322-1167
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1669515649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G077477
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
535 5TH AVE RM 603, New York, NY 10017
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Secondary Practice Location 1

Location 18550 Santa Monica Blvd 2nd FloorWest Hollywood, CA 90069 · Phone (833) 447-2775

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shera Raisen 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 January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

AVENUE MEDICAL WELLNESS PC
Family Medicine
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (310) 614-3697
CINDY MARIA RESTREPO RN
Registered Nurse
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750
AVENUE MEDICAL WELLNESS PC
Family Medicine
535 5TH AVE RM 603
NEW YORK, NY 10017
New York County (646) 200-5750

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 Shera Raisen's NPI number?

The NPI number for Shera Raisen is 1669515649. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Shera Raisen located?

Shera Raisen practices at 535 5th Ave Rm 603, New York, NY 10017. The listed phone number is (646) 200-5750.

What is Shera Raisen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shera Raisen enrolled in Medicare?

No. Shera Raisen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shera Raisen was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.