Shane E Macaulay, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00027606 Issued in WA

Practice address

1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817

Phone

(425) 250-1145

Fax

(425) 823-6028

NPI assigned

Jul 24, 2006

Last updated

Feb 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, ID2 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

Specialty

Diagnostic Radiology

Education

University of California, San Diego School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Consultants of Washington Inc PSGroup PAC ID 6608763859, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiology Consultants of Washington, Inc., P.S.

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1124046057

  ID

  Medicare reassignment NPD Authorized official
• Radiology Consultants of Washington, Inc., P.S.

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Everett, WA
  • NPI 1497914790
  Medicare reassignment NPD
• Medical Scanning Consultants PA

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Federal Way, WA
  • NPI 1730156175
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1255353710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 NE 128TH ST",
            "address_2": "SUITE 202",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347200",
            "telephone_number": "425-250-1145",
            "fax_number": "425-823-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 116TH AVE NE",
            "address_2": "SUITE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043817",
            "telephone_number": "425-250-1145",
            "fax_number": "425-823-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULAY",
        "first_name": "SHANE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00027606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8147266",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ma's Acupuncture & Chinese Medicine at Bellevue, Inc
• Deborah Renee Maahs, L.AC., EAMP
• Maan Salloum MD PLLC
• Prapti Mabbu
• Odellet Aquino Macapinlac, BSN RN
• Paula Maccormac
• Kate Lhyle Macdonald, PH.D
• Sean F Macgugan, MA, LMHC
• Mary Mach, RD
• Tu Mach, EAMP

• Diagnostic Radiology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.