Individual provider Active NPI

Ying Shao, DPM

  • Podiatrist
  • Bloomfield, CT
National Provider Identifier
1235699372
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1205 Issued in CT
Practice address
2 Northwestern Dr Ste 300
Bloomfield, CT 06002-6401
Phone
(860) 547-0616
Fax
(860) 524-2655
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N007255 NY
Podiatrist 213E00000X 1205 CT Primary

Addresses

Primary practice location

2 Northwestern Dr Ste 300
Bloomfield, CT 06002-6401

Mailing address

1290 Silas Deane Hwy
HHC Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-5507

Other practice location 1

155 Lawn Ave
Buffalo, NY 14207-1816
Phone (716) 875-2904

Other practice location 2

339 W Main St
Avon, CT 06001-4322
Phone (860) 547-0616

Other practice location 3

169 Riverside Dr
Binghamton, NY 13905-4246
Phone (607) 798-5280

Other practice location 4

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3456

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220802003433 NY Practitioner - Podiatry 9931581279 Reassigns benefits to 4 organizations
I20260605002691 CT Practitioner - Podiatry 9931581279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

2 Northwestern Dr
Bloomfield, CT 06002-3480
Phone 86028632003480

Hospital & facility affiliations

  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
  • O'Connor Hospital Hospital, Delhi, NY, CCN 331305
  • Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue71
Removal of skin lesions1-10
Removal of nail tissue548
Removal or shaving of skin growth70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1205CTMDChiropractor
N007255NYMDPodiatrist
007255NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Jul 7, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jul 7, 2025 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: yshao568791@bassett.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1235699372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-5507",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTHWESTERN DR STE 300",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060026401",
            "telephone_number": "860-547-0616",
            "fax_number": "860-524-2655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Lawn Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142071816",
            "country_code": "US",
            "telephone_number": "716-875-2904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 W Main St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014322",
            "country_code": "US",
            "telephone_number": "860-547-0616",
            "fax_number": "860-524-2655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139054246",
            "country_code": "US",
            "telephone_number": "607-798-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Atwell Rd",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "NY",
            "postal_code": "13326",
            "country_code": "US",
            "telephone_number": "607-547-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAO",
        "first_name": "YING",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N007255",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.