NPIMap

Individual provider Active NPI

Shuaike Ma, M.D.

  • Nephrology Physician
  • Easton, PA
National Provider Identifier
1255575924
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
53100 Issued in CT
Practice address
250 S 21St St
Easton, PA 18042-3851
Phone
(610) 250-4515
NPI assigned
Apr 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 MT194229 PA
Nephrology Physician 207RN0300X 53100 CT Primary

Addresses

Primary practice location

250 S 21St St
Easton, PA 18042-3851

Mailing address

2661 Wingate Way NW
Apt. 4
Canton, OH 44708-8942
Phone (330) 479-1464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818001657 CT Practitioner - Internal MedicinePractitioner - Nephrology 5597915827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT194229PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Jul 14, 2014 Accepting new patients
The William W Backus Hospital Current Accepting new patients
The William W Backus Hospital Internal Medicine CurrentSince Jul 14, 2014 Accepting new patients
Southeastern CT Nephrology Assoc PC Nephrology CurrentSince Jul 1, 2015 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Southeastern CT Nephrology Assoc. PastSince Jul 1, 2015 Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

88 Norwich New London Tpke
Ste 2
Uncasville, CT 06382
Phone (860) 367-0087

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: shuaike.ma@xdr.hhchealthdirect.org

Organizations & group practices 6

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 8

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": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1255575924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 WINGATE WAY NW",
            "address_2": "APT. 4",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447088942",
            "telephone_number": "330-479-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423851",
            "telephone_number": "610-250-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "SHUAIKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT194229",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "53100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.