Individual provider Active NPI

Anna Jing Shi, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Monterey, CA
National Provider Identifier
1194093971
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
A156796 Issued in CA
Practice address
21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858
Phone
(831) 372-1500
NPI assigned
Dec 7, 2011
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.205654 LA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A156796 CA Primary

Addresses

Primary practice location

21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858

Mailing address

21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858
Phone (831) 372-1500

Other practice location 1

1441 Constitution Blvd Ste 100
Salinas, CA 93906-3136
Phone (831) 424-1150

Other identifiers 2

IdentifierTypeStateIssuer
2199722MedicaidLA
02124040MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drshi@montereybayeyecenter.com

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
I20190513001976 CA Practitioner - Ophthalmology 2860712486 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Davis School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leland Rosenblum Medical CorporationGroup PAC ID 8022068675, 3 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Suite 100
Salinas, CA 93906-3136
Phone (831) 424-1150

21 Upper Ragsdale Dr
Monterey, CA 93940-7831
Phone (831) 372-1500

21 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-7858
Phone (831) 372-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.39

Merit-based Incentive Payment System (MIPS)

Final score
90.92 of 100Reported as group
Quality
94.59
Improvement activities
40
Cost
76.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205654LAMDOphthalmology Physician
A156796CAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Shi MD Inc Ophthalmology CurrentSince Jul 16, 2024 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 14, 2019 Accepting new patients
Monterey Bay Eye Associates Medical Group, a Medical Corporation Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
Leland Rosenblum Medical Corporation Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
Ochsner Clinic Foundation Ophthalmology Past Accepting new patients

Locations

21 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 372-1500

21 Upper Ragsdale Dr
Ste 200
Monterey, CA 93940
Phone (831) 372-1500

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

1441 Constitution Blvd
Ste 100
Salinas, CA 93906
Phone (831) 424-1150

Interoperability endpoints

  • Direct secure messaging: ashi@directaddress.net
  • Direct secure messaging: ashi@eyesurgla.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1194093971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407858",
            "telephone_number": "831-372-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407858",
            "telephone_number": "831-372-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Constitution Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063136",
            "country_code": "US",
            "telephone_number": "831-424-1150",
            "fax_number": "831-424-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHI",
        "first_name": "ANNA",
        "middle_name": "JING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.205654",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A156796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199722",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02124040",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drshi@montereybayeyecenter.com",
            "affiliation": "N",
            "address_1": "21 Upper Ragsdale Dr Ste 200",
            "city": "Monterey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939407858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.