Individual provider Active NPI

Angela Shao, MD

  • Internal Medicine Physician
  • Mount Kisco, NY
National Provider Identifier
1205333192
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
311534 Issued in NY
Practice address
344 E Main St Ste 303
Mount Kisco, NY 10549-3036
Phone
(914) 218-3838
Fax
(914) 218-3836
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 311534 NY Primary

Addresses

Primary practice location

344 E Main St Ste 303
Mount Kisco, NY 10549-3036

Mailing address

344 E Main St Ste 303
Mount Kisco, NY 10549-3036
Phone (914) 218-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20210727001875 NY Practitioner - Internal Medicine 8325441488 Reassigns benefits to 1 organization
I20211001000336 CT Practitioner - Internal Medicine 8325441488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Concierge Medical AssociatesGroup PAC ID 4789110669, 3 clinicians

Practice addresses (Care Compare)

344 E Main St
Suite 303
Mount Kisco, NY 10549-3036
Phone (914) 218-3838

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Concierge Medical Associates CurrentSince May 16, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

344 E Main St
Ste 303
Mount Kisco, NY 10549
Phone (914) 218-3838

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIGFDD
  • Direct secure messaging: ashao66646@northwell.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIGFDD/Endpoint/HIGFDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1205333192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST STE 303",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493036",
            "telephone_number": "914-218-3838",
            "fax_number": "914-218-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST STE 303",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493036",
            "telephone_number": "914-218-3838",
            "fax_number": "914-218-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "311534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.