Active NPI
Cindy Qingxin Shi, MD PHD
- Diagnostic Radiology Physician
- Red Lion, PA
National Provider Identifier
1053307959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD067998L
- Practice address
- 1060 Windsor Rd
Red Lion, PA 17356-8656 - Phone
- (717) 246-3908
- NPI assigned
- Sep 26, 2005
- Last updated
- Aug 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD067998L | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | BS6481989 | PA | |
| Nuclear Radiology Physician | 2085N0904X | MD067998L | PA |
Addresses
Primary practice location
1060 Windsor Rd
Red Lion, PA 17356-8656
Mailing address
1803 Mount Rose Ave
Suite B2
York, PA 17403-3026
Phone (717) 851-1405
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589786 | Other | PA | HIGHMARK BLUE SHIELD |
| 50074896 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 718401800 | Medicaid | MD | |
| 235931 | Other | PA | UNISON-WMG |
| 919374 | Other | MD | CAREFIRST MD BCBS |
| 1521051 | Other | PA | GATEWAY WMG |
| 7243064 | Other | PA | AETNA |
| 001755235 | Medicaid | PA | |
| 20069119 | Other | PA | AMERIHEALTH MERCY-WMG |
| 212046 | Other | PA | JOHNS HOPKINS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD067998L | PA | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Pennsylvania MRI Center | Diagnostic Radiology | Past | Accepting new patients |
| Quantum Imaging & Therapeutic Associates Inc | Nuclear Radiology | Past | Accepting new patients |
| Advanced Radiology Services, PLLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1609863893
Nuclear Radiology
-
dba Positron PET CT of the Southern TIer
- Diagnostic Radiology Physician
- Binghamton, NY
- NPI 1548253446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1053307959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "SUITE B2",
"city": "YORK",
"state": "PA",
"postal_code": "174033026",
"telephone_number": "717-851-1405",
"fax_number": "717-812-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 WINDSOR RD",
"city": "RED LION",
"state": "PA",
"postal_code": "173568656",
"telephone_number": "717-246-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "CINDY",
"middle_name": "QINGXIN",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD067998L",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "BS6481989",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "PA",
"license": "MD067998L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "589786",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50074896",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "718401800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "235931",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "919374",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY WMG",
"identifier": "1521051",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7243064",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001755235",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20069119",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "212046",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.