Individual provider Active NPI

Katherine S Shaio, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Stamford, CT
National Provider Identifier
1114007770
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
047370 Issued in CT
Practice address
292 Long Ridge Rd
Suite 202
Stamford, CT 06902-1627
Phone
(203) 276-4524
Fax
(203) 276-4525
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 047370 CT Primary

Addresses

Primary practice location

292 Long Ridge Rd
Suite 202
Stamford, CT 06902-1627

Mailing address

292 Long Ridge Rd
Suite 202
Stamford, CT 06902-1627
Phone (203) 276-4524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090804000458 CT Practitioner - Obstetrics/Gynecology 5193727485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

29 Hospital PLZ
Suite 605
Stamford, CT 06902-3602
Phone (203) 353-1427

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047370CTMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Urogynecology and Reconstructive Pelvic Surgery CurrentSince Feb 1, 2013 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Stamford Hospital Past Accepting new patients

Locations

148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886

292 Long Ridge Rd
Ste 202
Stamford, CT 06902
Phone (203) 276-4524

292 Long Ridge Rd
Stamford, CT 06902
Phone (203) 276-5509

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

29 Hospital Plz
Ste 605
Stamford, CT 06902
Phone (203) 353-1427

1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464

Interoperability endpoints

  • Direct secure messaging: kshaio24799@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1114007770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD",
            "address_2": "SUITE 202",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-276-4524",
            "fax_number": "203-276-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD",
            "address_2": "SUITE 202",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-276-4524",
            "fax_number": "203-276-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIO",
        "first_name": "KATHERINE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CT",
            "license": "047370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.