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SHEINA THEODORE MD
NPI 1669867412
Surgery - Surgical Critical Care in Boston, MA

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
725 ALBANY STREET, SUITE 3A, SHAPIRO BUILDING, BOSTON, MA 02118(617) 414-4861(617) 414-3617 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Aug 19, 2022, Jun 22, 2021 (3 updates tracked since 2021).

About Sheina Theodore Md NPPES

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

SHEINA THEODORE MD (NPI 1669867412) is an individual surgical critical care provider in Boston, Massachusetts, licensed in Massachusetts (287724) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669867412
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameSHEINA THEODORECredential: MD
Location Address725 ALBANY STREET, SUITE 3A, SHAPIRO BUILDINGBoston, MA 02118
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690
Phone(617) 414-4861
Fax(617) 414-3617
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1669867412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in MA · 287724
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 287724 (MA)
725 ALBANY STREET, Boston, MA 02118
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1736 Cambridge StBrighton, MA 02135 · Phone (617) 789-2442
Location 211 Nevins St, Suite 201Brighton, MA 02135 · Phone (617) 414-4861 · Fax (617) 414-3617

Other Identifiers 2

Medicaid3143532NH
Medicaid110110892AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Sheina Theodore Md 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 ID5991018806
PECOS Enrollment IDI20220927002527
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 7

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.

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.
113 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
58 services40 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.
44 services31 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.
42 services20 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.
31 services31 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

MR. TIMOTHY MICHAEL BRITT PA-C
Physician Assistant
725 ALBANY STREET, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-5633
DR. DAVID M. GREER MD
Psychiatry & Neurology (Vascular Neurology)
725 ALBANY STREET, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-8456
HORMUZDIYAR HENRY DASENBROCK MD
Neurological Surgery
725 ALBANY STREET, SHAPIRO 7, SUITE C
BOSTON, MA 02118
Suffolk County (617) 638-8992
JUAN-PABLO LOPEZ-ZERTUCHE ORTIZ M.D.
Internal Medicine (Rheumatology)
725 ALBANY STREET, SUITE 6B, SHAPIRO BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7460
DR. DEBJANI SAHNI M.D.
Dermatology
725 ALBANY STREET, SHAPIRO 8
BOSTON, MA 02118
Suffolk County (617) 638-7420
POOJA R. RAVAL M.D.
Internal Medicine
725 ALBANY STREET, SHAPIRO 5 & 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
ARTHUR ROLAND CELESTIN M.D.
Surgery (Plastic and Reconstructive Surgery)
725 ALBANY STREET, SUITE 8A, SHAPIRO BUILDING
BOSTON, MA 02118
Suffolk County (617) 638-8419
SEAN DOHERTY PA-C
Physician Assistant (Surgical)
725 ALBANY STREET, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Suffolk County (617) 414-4861

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 Sheina Theodore's NPI number?

The NPI number for Sheina Theodore is 1669867412. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Sheina Theodore located?

Sheina Theodore practices at 725 Albany Street Suite 3A, Shapiro Building, Boston, MA 02118. The listed phone number is (617) 414-4861.

What is Sheina Theodore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Sheina Theodore enrolled in Medicare?

Yes. Sheina Theodore 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 Sheina Theodore accept?

Health plans from Anthem Blue Cross and Blue Shield list Sheina Theodore 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.

Is Sheina Theodore affiliated with any hospitals?

According to CMS data, Sheina Theodore is affiliated with Lawrence General Hospital, Cape Cod Hospital, Boston Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Sheina Theodore was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.