Thomas J Shen, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME0073924 Issued in FL

Practice address

8245 County Road 44 Leg a
Suite 1
Leesburg, FL 34788-3751

Phone

(352) 314-2929

Fax

(352) 314-9747

NPI assigned

Jan 25, 2006

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Allergy/Immunology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Allergist of Florida LLCGroup PAC ID 9931232063, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: shen.thomas.017.0090427@avh.meditab.direct-ci.com
• Direct secure messaging: shen.thomas.019.0090427@avh.meditab.direct-ci.com

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.

• Premier Allergist of Florida LLC

  dba Allervie Health

  • Allergy Physician
  • Sarasota, FL
  • NPI 1427237486

  Allergy & Immunology

  Medicare reassignment Care Compare group NPD
• Allergy & Asthma Care Centre PA

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Fort Myers, FL
  • NPI 1780739946
  Medicare reassignment NPD
• Allergy and Asthma Care of Florida Inc

  • Allergy & Immunology Physician
  • Ocala, FL
  • NPI 1154367654
  Medicare reassignment NPD
• Allergy Asthma & Immunology Center, Inc

  • Specialist
  • Leesburg, FL
  • NPI 1841258027
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  dba UF Health Spanish Plaines Hospital

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1194795807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 COUNTY ROAD 44 LEG A",
            "address_2": "SUITE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883751",
            "telephone_number": "352-314-2929",
            "fax_number": "352-314-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 COUNTY ROAD 44 LEG A",
            "address_2": "SUITE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883751",
            "telephone_number": "352-314-2929",
            "fax_number": "352-314-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0073924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUESHIELD",
            "identifier": "41838",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5923541",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252644100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Renee Shaw, PHARMD
• Sydney Shaw, DPT
• William Shay, PA
• Alvin Carl Sheffield Jr.
• Sheila Gillikin MD PA
• Jeanie Sherman, COTA/L
• Leah Marie Sherwood, AUD
• Tracy L Shipe, D.O.
• Janet Erickson Shipley, LMHC
• Shireen Dhanani DMD PA (The Dental Touch)

• Allergy & Immunology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.