Individual provider Active NPI

Marie Patricia Shieh, MD

  • Hematology & Oncology Physician
  • San Diego, CA
National Provider Identifier
1245475474
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A101732 Issued in CA
Practice address
3075 Health Center Dr
Suite 102
San Diego, CA 92123-2773
Phone
(858) 637-7888
Fax
(858) 637-7887
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A101732 CA
Hematology & Oncology Physician 207RH0003X A101732 CA Primary

Addresses

Primary practice location

3075 Health Center Dr
Suite 102
San Diego, CA 92123-2773

Mailing address

3075 Health Center Dr
San Diego, CA 92123-2773
Phone (858) 637-7888

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
I20120824000546 CA Practitioner - Hematology/OncologyPractitioner - Osteopathic Manipulative Medicine 6305093436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

3075 Health Ctr Dr
San Diego, CA 92123-2773
Phone (858) 637-7888

4060 4TH Ave
Suite 440
San Diego, CA 92103-2183
Phone (858) 637-7888

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

9850 Genesee Ave
Suite 400
La Jolla, CA 92037-1212
Phone (858) 558-8666

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101732CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Mar 3, 2013 Accepting new patients
Scripps Health Current Accepting new patients
Medical Oncology Associates of San Diego a Medical Group Inc Hematology & Oncology CurrentSince Jul 25, 2016 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

9850 Genesee Ave
Ste 400
La Jolla, CA 92037
Phone (858) 558-8666

230 Prospect Pl
Ste 210
San Diego, CA 92118
Phone (619) 269-4747

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4060 4th Ave
Ste 440
San Diego, CA 92103
Phone (619) 298-8891

3075 Health Center Dr
Ste 102
San Diego, CA 92123
Phone (858) 637-7888

3075 Health Center Dr
San Diego, CA 92123
Phone (858) 637-7888

5555 Reservoir Dr
Ste 306
San Diego, CA 92120
Phone (619) 287-9910

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mshieh33343@scrippshlth.medalliesdirect.net

Organizations & group practices 7

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 5

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1245475474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-637-7888",
            "fax_number": "858-637-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR",
            "address_2": "SUITE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-637-7888",
            "fax_number": "858-637-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEH",
        "first_name": "MARIE",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101732",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A101732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.