SHELLEY IOLI
NPI 1548385610
Physician Assistant - Surgical in Rockville Centre, NY


Quality Rating: 75.85 out of 100 score

NPI Status: Active since March 20, 2007

Contact Information

165 N VILLAGE AVE
SUITE 204
ROCKVILLE CENTRE, NY
ZIP 11570
Phone: (516) 764-5380

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  • Individual
  • Female
  • Years of Experience 43
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHELLEY IOLI

This page provides the complete NPI Profile along with additional information for Shelley Ioli, a provider established in Rockville Centre, New York with a medical specialization in Physician Assistant, focusing in surgical and more than 43 years of experience. The healthcare provider is registered in the NPI registry with number 1548385610 assigned on March 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 002226 (NY). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1548385610
Provider Name
SHELLEY IOLI
Gender
Female
Entity Type
Individual
Location Address
165 N VILLAGE AVE SUITE 204 ROCKVILLE CENTRE, NY 11570
Location Phone
(516) 764-5380
Mailing Address
165 N VILLAGE AVE SUITE 204 ROCKVILLE CENTRE, NY 11570
Mailing Phone
(516) 764-5380
Medical School Name
OTHER
Graduation Year
1983
Is Sole Proprietor?
No
Enumeration Date
03-20-2007
Last Update Date
07-09-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
002226
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F30365MEDICARE UPIN (02)NY 
B12685MEDICARE UPIN (02)NY 

Medicare Participation & PECOS Enrollment Status

Shelley Ioli is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Shelley Ioli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5991989691

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110404000809

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75.85, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 75.85 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 60.49

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 59.02

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 59.02

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shelley Ioli is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MOUNT SINAI SOUTH NASSAUONE HEALTHY WAY
OCEANSIDE, NY 11572
(516) 632-3000Acute Care Hospitals

Reviews for SHELLEY IOLI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548385610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588681062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 6 + 8 + 1 + 0 + 6 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1548385610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841290285DR. MARIE AZZU PELOSO M.D.
Individual
Pediatrics165 N VILLAGE AVE SUITE 215
ROCKVILLE CENTRE, NY 11570
(516) 536-7200
1184607590DR. VICTOR DLUGASH MD
Individual
Internal Medicine (Cardiovascular Disease)165 N VILLAGE AVE STE 115
ROCKVILLE CENTER, NY 11570
(516) 764-7660
1457335697 JULIUS BAZAN MD
Individual
Psychiatry & Neurology (Neurology)165 N VILLAGE AVE STE 129
ROCKVILLE CENTRE, NY 11570
(516) 678-4040
1841275914DR. EDWARD M STROH M.D.
Individual
Ophthalmology165 N VILLAGE AVE SUITE 203
ROCKVILLE CENTRE, NY 11570
(516) 536-9525
1700823325DR. ADAM SETH SCHNEIDERMAN M. D.
Individual
Ophthalmology165 N VILLAGE AVE SUITE 132
ROCKVILLE CENTRE, NY 11570
(516) 766-5851
1568480853DR. EDWARD MOSKOWITZ PSY.D.
Individual
Psychologist165 N VILLAGE AVE SUITE 207
ROCKVILLE CENTRE, NY 11570
(516) 678-3546
1184734857DR. IRA BRAD GROSSER DDS
Individual
Dentist165 N VILLAGE AVE SUITE 106 DR IRA GROSSER
ROCKVILLE CENTRE, NY 11570
(516) 766-1877
1962512178DR. WILLIAM B JONES M.D.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)165 N VILLAGE AVE SUITE # 5
ROCKVILLE CENTRE, NY 11570
(516) 766-0393
1992803191DR. RICHARD MARC RICHMAN D.D.S.
Individual
Dentist165 N VILLAGE AVE SUITE 12
ROCKVILLE CENTRE, NY 11570
(516) 594-2111
1124108337DR. BARRY DAVID HEFFRON D.C.
Individual
Chiropractor165 N VILLAGE AVE SUITE 4
ROCKVILLE CENTRE, NY 11570
(516) 764-2222
1841374022 EILEEN WIENER LCSW
Individual
Social Worker165 N VILLAGE AVE STE 100
ROCKVILLE CTR, NY 11570
(516) 594-0247
1346325727DR. FREDERIC ROBERT KUNKEN DMD
Individual
Dentist (Pediatric Dentistry)165 N VILLAGE AVE SUITE 126
ROCKVILLE CENTRE, NY 11570
(516) 536-8888
1841356326MR. LOUIS W COOK MSW
Individual
Counselor (Addiction (Substance Use Disorder))165 N VILLAGE AVE SUITE 118
ROCKVILLE CENTRE, NY 11570
(516) 764-1816
1346306826 TONI KAPEN MSW
Individual
Counselor (Addiction (Substance Use Disorder))165 N VILLAGE AVE SUITE 118
ROCKVILLE CENTRE, NY 11570
(516) 764-1816
1952452997 TARA MARIE FUSCO-PULEO M.D.
Individual
Pediatrics165 N VILLAGE AVE SUITE 215
ROCKVILLE CENTRE, NY 11570
(516) 536-7200
1245373547DR. NOBORU YAMAKI D.D.S.
Individual
Dentist (Endodontics)165 N VILLAGE AVE SUITE 12
ROCKVILLE CENTRE, NY 11570
(516) 594-2111
1245450857PHOENIX MEDICAL SERVICES PC
Organization
Pain Medicine (Interventional Pain Medicine)165 N VILLAGE AVE SUITE 5
ROCKVILLE CENTRE, NY 11570
(516) 766-0393
1225244809MRS. CATHERINE A MURPHY M.A.
Individual
Marriage & Family Therapist165 N VILLAGE AVE SUITE #9
ROCKVILLE CENTRE, NY 11570
(516) 678-2763
1336348556ADVANCED ALLERGY AND ASTHMA PLLC
Organization
Specialist165 N VILLAGE AVE SUITE 141
ROCKVILLE CENTRE, NY 11570
(516) 678-0056
1518107135OBSTETRICAL&GYNECOLOGICAL SERVICES OF ROCKVILLE CENTRE, PC
Organization
Obstetrics & Gynecology165 N VILLAGE AVE SUITE 204
ROCKVILLE CENTRE, NY 11570
(516) 764-5380

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548385610, enumerated in the NPI registry as an "individual" on March 20, 2007

The provider is located at 165 N Village Ave Suite 204 Rockville Centre, Ny 11570 and the phone number is (516) 764-5380

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 43 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The practitioner is affiliated to the following hospital(s): MOUNT SINAI SOUTH NASSAU. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.