Individual provider Active NPI

Shaina Wang Gong, MD

  • Otolaryngology Physician
  • Austin, TX
National Provider Identifier
1053999102
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
W5352 Issued in TX
Practice address
6420 Bee Caves Rd Unit 100
Austin, TX 78746-6047
Phone
(512) 401-2500
Fax
(512) 401-2501
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X W5352 TX Primary
Facial Plastic Surgery Physician 207YS0123X W5352 TX
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X W5352 TX

Addresses

Primary practice location

6420 Bee Caves Rd Unit 100
Austin, TX 78746-6047

Mailing address

6420 Bee Caves Rd Unit 100
Austin, TX 78746-6047
Phone (512) 401-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260609002603 TX Practitioner - Otolaryngology 6002387149

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13209 Appaloosa Chase Dr
Austin, TX 78732-2057

6420 Bee Caves Rd
Unit 100
Austin, TX 78746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W5352TXMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buckingham Center for Facial Plastic Surgery PA Otolaryngology CurrentSince Jul 1, 2026 Accepting new patients

Locations

6420 Bee Caves Rd
Unit 100
Austin, TX 78746
Phone (512) 401-2500

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1053999102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 BEE CAVES RD UNIT 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466047",
            "telephone_number": "512-401-2500",
            "fax_number": "512-401-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 BEE CAVES RD UNIT 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466047",
            "telephone_number": "512-401-2500",
            "fax_number": "512-401-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "SHAINA",
        "middle_name": "WANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "W5352",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "W5352",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "W5352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.