NPIMap

Individual provider Active NPI

Sandra Shi, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Roslindale, MA
National Provider Identifier
1023421088
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
274879 Issued in MA
Practice address
1200 Centre St
Roslindale, MA 02131-1000
Phone
(617) 971-5324
NPI assigned
Jun 8, 2014
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 274879 MA Primary

Addresses

Primary practice location

1200 Centre St
Roslindale, MA 02131-1000

Mailing address

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 971-5324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726002509 MA Practitioner - Internal Medicine 7517183197 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
274879MAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Rehabilitation Center CurrentSince Dec 11, 2023 Accepting new patients
Mt Auburn Professional Services Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Jun 5, 2024 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Hebrew Rehabilitation Center CurrentSince Dec 11, 2023 Accepting new patients
Hebrew Seniorlife Affiliated Medical Group Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Mount Auburn Professional Services Inc Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shi.sandra.bwh@direct.partners.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1023421088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311000",
            "telephone_number": "617-971-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311000",
            "telephone_number": "617-971-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "274879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

Verify at the official NPI Registry.