Individual provider Active NPI

Jian Shan, M.D.

  • Cardiovascular Disease Physician
  • Lancaster, PA
National Provider Identifier
1134481427
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD484945 Issued in PA
Practice address
217 Harrisburg Ave
Lancaster, PA 17603-2964
Phone
(717) 544-8300
Fax
(717) 544-8265
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD484945 PA Primary

Addresses

Primary practice location

217 Harrisburg Ave
Lancaster, PA 17603-2964

Mailing address

100 Kings Highway South
Provider Enrollment
Rochester, NY 14617-5504
Phone (585) 922-1304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20180815001617 NY Practitioner - Cardiovascular Disease (Cardiology) 1759690779 Reassigns benefits to 4 organizations
I20240620001928 PA Practitioner - Cardiovascular Disease (Cardiology) 1759690779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Heart Group of Lancaster General HealthGroup PAC ID 1052507449, 62 clinicians

Practice addresses (Care Compare)

217 Harrisburg Ave
Lancaster, PA 17603-2962
Phone (717) 544-8300

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD484945PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 6, 2018 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Oct 23, 2020 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Aug 6, 2018 Accepting new patients
The Heart Group of Lancaster General Health Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 6, 2018 Accepting new patients
United Memorial Medical Center Cardiovascular Disease CurrentSince Apr 3, 2019 Accepting new patients
Rochester General Hospital CurrentSince Aug 6, 2018 Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

127 North St
Batavia, NY 14020
Phone (585) 267-7510

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

30 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 242-9450

217 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 397-5484

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

Organizations & group practices 8

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 5

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1134481427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HIGHWAY SOUTH",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAN",
        "first_name": "JIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD484945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.