SHEILA A. CAIN MD
NPI 1932290954
Internal Medicine in New York, NY

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
38 E 32ND ST FL 9, NEW YORK, NY 10016(212) 779-6083(212) 725-3660 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sheila A. Cain Md NPPES

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

SHEILA A. CAIN MD (NPI 1932290954) is an individual internal medicine provider in New York, New York, licensed in New York (207171) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1996).

NPPES Registry Identity

NPI1932290954
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHEILA A. CAINCredential: MD
Location Address38 E 32ND ST FL 9New York, NY 10016-5563
Mailing Address38 E 32nd St Fl 9New York, NY 10016-5563 · (212) 779-6083 · Fax (212) 725-3660
Fax(212) 725-3660
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1996
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
NPI 1932290954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 207171
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

38 E 32ND ST FL 9, New York, NY 10016

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

Sheila A. Cain 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 ID4880785336
PECOS Enrollment IDI20070813000351
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 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
69 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 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.
35 services32 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 10

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

Internal Medicine
38 E 32ND ST FL 9
NEW YORK, NY 10016
Internal Medicine
38 E 32ND ST FL 9
NEW YORK, NY 10016
Internal Medicine
38 E 32ND ST FL 9
NEW YORK, NY 10016
Physician Assistant (Medical)
38 E 32ND ST FL 9
NEW YORK, NY 10016
Internal Medicine
38 E 32ND ST FL 9
NEW YORK, NY 10016
Internal Medicine (Endocrinology, Diabetes & Metabolism)
38 E 32ND ST FL 9
NEW YORK, NY 10016
Internal Medicine
38 E 32ND ST FL 9
NEW YORK, NY 10016
Obstetrics & Gynecology
38 E 32ND ST FL 9
NEW YORK, NY 10016

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 Cain's NPI number?

The NPI number for Sheila Cain is 1932290954. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Sheila Cain located?

Sheila Cain practices at 38 E 32nd St Fl 9, New York, NY 10016. The listed phone number is (212) 779-6083.

What is Sheila Cain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheila Cain enrolled in Medicare?

Yes. Sheila Cain 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.

Is Sheila Cain affiliated with any hospitals?

According to CMS data, Sheila Cain is affiliated with Lenox Hill Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Sheila Cain was last updated on August 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.