NPIMap

Organization Active NPI

Xiandong Shi MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1225215809
Registry record updated Jan 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
247287 Issued in NY
Legal business name
XIANDONG SHI MD
Practice address
13336 41St Rd
Unit 2G
Flushing, NY 11355-3666
Phone
(718) 889-6368
NPI assigned
Jan 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2008

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

Authorized official

Name
Dr. Xiandong Shi, M.D.NPI 1316124795
Title
President
Phone
(718) 889-6368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 247287 NY Primary

Addresses

Primary practice location

13336 41St Rd
Unit 2G
Flushing, NY 11355-3666

Mailing address

13336 41St Rd
Unit 2G
Flushing, NY 11355-3666
Phone (718) 889-6368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1225215809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13336 41ST RD",
            "address_2": "UNIT 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553666",
            "telephone_number": "718-889-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 41ST RD",
            "address_2": "UNIT 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553666",
            "telephone_number": "718-889-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIANDONG SHI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "XIANDONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-889-6368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.