Shelly Groenendyk, MD
NPI 1083060917 · Anesthesiology Physician · Port Jefferson, NY
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shelly Groenendyk, MD is a Anesthesiology Physician provider in Port Jefferson, NY (NPI 1083060917).
Provider details
- NPI number
- 1083060917
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 10516430-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
16 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 16 | $143 |
Typical Medicare-allowed amounts for these services range $143–$143 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 3601 the Vanderbilt ClinicNashville, TN 37232-0001Phone: (615) 322-3000
- 3601 the Vanderbilt ClinicNashville, TN 37232-0001Phone: (615) 322-3000
Registry dates
- Enumerated
- 2016-05-10
- Last updated
- 2024-11-03
- Certified
- 2024-11-03
Frequently asked questions
- What is Shelly Groenendyk's NPI number?
- Shelly Groenendyk's National Provider Identifier (NPI) is 1083060917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelly Groenendyk's specialty?
- Shelly Groenendyk is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Shelly Groenendyk located?
- Shelly Groenendyk's practice location on file with NPPES is 75 N Country Rd, Port Jefferson, NY 11777-2190.
- What is Shelly Groenendyk's phone number?
- The practice phone number listed in the NPPES registry for Shelly Groenendyk is (516) 382-7399.
- Does Shelly Groenendyk accept Medicare?
- Shelly Groenendyk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shelly Groenendyk's NPI active?
- Yes — Shelly Groenendyk's NPI (1083060917) is active in the NPPES registry as of the last update on 2024-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.