Individual provider Active NPI

Elaine Yilin Shao, MD

  • Gastroenterology Physician
  • Edmonds, WA
National Provider Identifier
1104276674
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD61442081 Issued in WA
Practice address
21600 Highway 99 Ste 230
Edmonds, WA 98026-8048
Phone
(206) 215-4250
Fax
(206) 215-4252
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD61442081 WA Primary
Internal Medicine Physician 207R00000X 2018032440 MO
Hospitalist Physician 208M00000X 2018032440 MO

Addresses

Primary practice location

21600 Highway 99 Ste 230
Edmonds, WA 98026-8048

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2263332MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231101001686 WA Practitioner - Gastroenterology 3476829540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300

21616 76TH Ave W
Suite 201a
Edmonds, WA 98026-7512
Phone (425) 673-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018032440MOMDInternal Medicine Physician
MD61442081WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics CurrentSince Apr 15, 2024 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Oct 9, 2023 Accepting new patients
Pacmed Clinics CurrentSince Apr 15, 2024 Accepting new patients
Pacmed Clinics Internal Medicine Current Accepting new patients
Swedish Health Services PastSince Oct 9, 2023 Accepting new patients

Locations

21616 76th Ave W
Ste 201A
Edmonds, WA 98026
Phone (425) 673-3400

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21600 Highway 99
Ste 230
Edmonds, WA 98026
Phone (206) 215-4250

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1124 Columbia St
Ste 600
Seattle, WA 98104
Phone (206) 386-3660

Interoperability endpoints

  • Direct secure messaging: eshao2976872@wm.providencedirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1104276674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 230",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268048",
            "telephone_number": "206-215-4250",
            "fax_number": "206-215-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "ELAINE",
        "middle_name": "YILIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD61442081",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018032440",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2018032440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263332",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.