Nai Hua Shu, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Practice address

1600 Lebanon Ave
Suite 101
Belleville, IL 62221-2491

Phone

(618) 239-6269

NPI assigned

Aug 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

General Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073522249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 CLIFTON AVE APT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392363",
            "telephone_number": "314-647-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LEBANON AVE",
            "address_2": "SUITE 101",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622212491",
            "telephone_number": "618-239-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "NAI",
        "middle_name": "HUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "MD 103976",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "08222941",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Sheley, PHARM.D., BCPS
• Janice L Sheridan, LCSW
• Amy Shevlin, PT
• Jaehee L Shim, D.D.S.
• Laura A Shimkus, DPT
• Grace Nicole Shutz
• Si Medical Weight Loss
• Craig A Sieron, OD
• Vivian Marie Sierra, PH.D. LMFT
• Sierracounseling & Mediation, LLC

• General Practice Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.