Individual provider Active NPI

Michael W Shen, MD

  • Neurology Physician
  • Laguna Hills, CA
National Provider Identifier
1154402238
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A80928 Issued in CA
Practice address
23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616
Phone
(949) 837-1133
Fax
(949) 581-9189
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A80928 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616

Mailing address

23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616
Phone (949) 837-1133

Other identifiers 2

IdentifierTypeStateIssuer
262528278OtherCATAX ID
BD219OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070209000647 CA Practitioner - Neurology 9436151099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tufts University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23961 Calle de la Magdalena
Suite 402
Laguna Hills, CA 92653-3685
Phone (949) 837-1450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.43 of 100Reported as individual
Quality
38.99
Improvement activities
40
Cost
72.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W Shen, M.D., Inc Neurology CurrentSince Sep 1, 2008 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 317
Laguna Hills, CA 92653
Phone (949) 837-1133

24012 Calle de la Plata
Ste 150
Laguna Hills, CA 92653
Phone (949) 837-1130

24012 Calle de la Plata
Ste 135
Laguna Hills, CA 92653
Phone (949) 455-0420

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 4

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": "1233014400000",
    "number": "1154402238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 317",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-837-1133",
            "fax_number": "949-581-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 317",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-837-1133",
            "fax_number": "949-581-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A80928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "262528278",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BD219",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.