Individual provider Active NPI

Yang Shen, M.D.

  • Dermatology Physician
  • Dublin, OH
National Provider Identifier
1043455595
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.093940 Issued in OH
Practice address
5720 Blazer Pkwy
Dublin, OH 43017-3566
Phone
(614) 761-1151
Fax
(614) 761-1313
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 207N00000X TX
Dermatology Physician 207N00000X 35.093940 OH Primary

Addresses

Primary practice location

5720 Blazer Pkwy
Dublin, OH 43017-3566

Mailing address

5720 Blazer Pkwy
Dublin, OH 43017-3566
Phone (614) 761-1151

Other names 1

  • Angela Shen Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000010 OH Practitioner - Dermatology 0648325654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

5720 Blazer Pkwy
Dublin, OH 43017-3566
Phone (614) 761-1151

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions321
Removal of nail tissue1-10
Skin biopsy81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.093940OHMDDermatology Physician
207N00000XTXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. Dermatology CurrentSince Mar 13, 2020 Accepting new patients

Locations

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

5720 Paul Blazer Pkwy
Dublin, OH 43017
Phone (614) 761-1151

1933 Ohio Dr
Grove City, OH 43123
Phone (614) 277-9530

247 S Burnett Rd
Ste 220
Springfield, OH 45505
Phone (937) 324-0666

Interoperability endpoints

  • Direct secure messaging: ashen@dermswohio.emadirect.md

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1043455595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173566",
            "telephone_number": "614-761-1151",
            "fax_number": "614-761-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173566",
            "telephone_number": "614-761-1151",
            "fax_number": "614-761-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "YANG",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "207N00000X",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.093940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SHEN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.