SHEINA THEODORE (MD) – Surgical Critical Care Physician, NPI 1669867412
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,028 GENERAL SURGERY in MA
Provider Addresses for SHEINA THEODORE (MD)
960 MASSACHUSETTS AVENUE
FL 2
BOSTON, MA 021182690
Phone:
Type: Mailing
725 ALBANY STREET
SUITE 3A, SHAPIRO BUILDING
BOSTON, MA 02118
Phone: (617) 414-4861
Fax: (617) 414-3617
Type: Location
BAYSTATE MEDICAL CTR
759 CHESTNUT STREET
SPRINGFIELD, MA 011990001
Phone: (413) 794-0000
Type: Mailing
736 Cambridge St
Brighton, MA 02135
Phone: (617) 789-2442
Type: Location
11 Nevins St
Suite 201
Brighton, MA 02135
Phone: (617) 414-4861
Fax: (617) 414-3617
Type: Location
801 ALBANY STREET
FL GROUND
BOSTON, MA 02119
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220927002527 | I | General Surgery | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 75 | 50 | $0 |
| 99291 | Critical care, first 30-74 minutes | 56 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 21 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 02118)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Thoracic Surgery, Cardiac Surgery | MA | |
| Thoracic Surgery, General Surgery | NY | |
| Nurse Practitioner | MA | |
| Plastic And Reconstructive Surgery | PA | |
| General Surgery | MA | |
| General Surgery, Colorectal Surgery (Proctology) | MA | |
| Surgical Oncology, General Surgery | MA | |
| Plastic And Reconstructive Surgery | MA | |
| Vascular Surgery, General Surgery | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.