Individual provider Active NPI

Jian Shen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, OR
National Provider Identifier
1104928522
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD150260 Issued in OR
Practice address
Providence Portland Medical Center
4805 NE Glisan St.
Portland, OR 97213-9721
Phone
(503) 215-2218
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 228443 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD150260 OR Primary

Addresses

Primary practice location

Providence Portland Medical Center
4805 NE Glisan St.
Portland, OR 97213-9721

Mailing address

17610 Brookhurst Dr
Lake Oswego, OR 97034-5097
Phone (781) 883-6391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20100630000291 OR Practitioner - Pathology 3476651605 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - OregonGroup PAC ID 3072415652, 61 clinicians
Providence Health and Services OregonGroup PAC ID 6103728753, 52 clinicians
Providence Health and Services - OregonGroup PAC ID 5294901922, 52 clinicians
Providence Health and Services - OregonGroup PAC ID 5395656284, 195 clinicians
Providence Health and Services OregonGroup PAC ID 1557260106, 97 clinicians
Providence Health and Services OregonGroup PAC ID 7315856010, shared by 5 NPIs, 80 clinicians
Providence Health and Services - OregonGroup PAC ID 9335057447, 212 clinicians

Practice addresses (Care Compare)

1001 N Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-1555

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-8300

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 656-1631

200 S Hazel Dell Way
Suite 210
Canby, OR 97013-7828
Phone (503) 263-9550

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

727 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6445

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213

Hospital & facility affiliations

  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
87
Promoting interoperability
100
Improvement activities
40
Cost
73.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
96.73

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
84.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.53 of 100Reported as group
Quality
96.2
Promoting interoperability
100
Improvement activities
40
Cost
84.49

Merit-based Incentive Payment System (MIPS)

Final score
94.39 of 100Reported as group
Quality
83
Promoting interoperability
100
Improvement activities
40
Cost
89.32

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
98.12
Promoting interoperability
100
Improvement activities
40
Cost
80.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD150260ORMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Jan 14, 2014 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 14, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 5, 2015 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 14, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 14, 2014 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Dec 23, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 23, 2014 Accepting new patients
Providence Health & Services Oregon Anatomic Pathology & Clinical Pathology CurrentSince Jun 5, 2015 Accepting new patients

Locations

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

4400 NE Halsey St
Bldg 3
Portland, OR 97213
Phone (503) 215-6660

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1104928522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17610 BROOKHURST DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970345097",
            "telephone_number": "781-883-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROVIDENCE PORTLAND MEDICAL CENTER",
            "address_2": "4805 NE GLISAN ST.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972139721",
            "telephone_number": "503-215-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "228443",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD150260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.