Individual provider Active NPI

Rong Shen, MD

  • Adult Medicine Physician
  • San Francisco, CA
National Provider Identifier
1215016175
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A81146 Issued in CA
Practice address
728 Pacific Ave
Suite 606
San Francisco, CA 94133-4457
Phone
(415) 596-3211
Fax
(415) 398-5580
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A81146 CA
Adult Medicine Physician 207QA0505X A81146 CA Primary

Addresses

Primary practice location

728 Pacific Ave
Suite 606
San Francisco, CA 94133-4457

Mailing address

728 Pacific Ave
Suite 606
San Francisco, CA 94133-4457
Phone (415) 596-3211

Other identifiers 4

IdentifierTypeStateIssuer
A81146OtherCA1
00A811460OtherCA1
00A811460MedicaidCA
731678750OtherCA1

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHA_RONGS@chasf.cernerdirect.com Direct

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
I20040204000349 CA Practitioner - Family Practice 0244123230 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

728 Pacific Ave
Suite 606
San Francisco, CA 94133-4449
Phone (415) 596-3211

Hospital & facility affiliations

  • Self-Help Homecare & Hospice Home health agency, San Francisco, CA, CCN 057570
  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81146CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A81146CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cha_rongs@chasf.cernerdirect.com

Organizations & group practices 1

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 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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1215016175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 606",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334457",
            "telephone_number": "415-596-3211",
            "fax_number": "415-398-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 606",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334457",
            "telephone_number": "415-596-3211",
            "fax_number": "415-398-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "RONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A81146",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A81146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "A81146",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "00A811460",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A811460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "731678750",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHA_RONGS@chasf.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "CernerEHR email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "728 Pacific Ave",
            "address_2": "Suite 606",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941334457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.