Individual provider Active NPI

Elizabeth Rose Shih, M.D.

  • Family Medicine Physician
  • Redmond, OR
National Provider Identifier
1306007307
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92066 Issued in OR
Practice address
1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588
Phone
(541) 383-3005
Fax
(541) 383-1883
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301098747 MI
Family Medicine Physician 207Q00000X 92066 OR Primary

Addresses

Primary practice location

1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone (503) 418-4500

Other identifiers 1

IdentifierTypeStateIssuer
500751068MedicaidOR

Other names 1

  • Elizabeth Meza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20180919001896 OR Practitioner - Family Practice 7416127444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Community HealthGroup PAC ID 5395653497, 78 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1250 SW Veterans Way
Redmond, OR 97756-2585
Phone (541) 383-3005

2065 NE Tucson Way
Apt 110
Bend, OR 97701-5182
Phone (541) 383-3005

2084 NE Professional CT
Bend, OR 97701-6077
Phone (541) 383-3005

2600 Compass Rd
Glenview, IL 60026-8001

375 NW Beaver St
Suite 101
Prineville, OR 97754-1802
Phone (541) 316-6026

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098747MIMDFamily Medicine Physician
92066ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Health CurrentSince Sep 9, 2024 Accepting new patients
Mosaic Medical Dental PastSince Sep 9, 2024 Accepting new patients

Locations

375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026

1250 SW Veterans Way
Ste 120
Redmond, OR 97756
Phone (541) 923-4462

244 NW Kingwood Ave
Redmond, OR 97756
Phone (541) 316-2500

Interoperability endpoints

  • Direct secure messaging: eshih720908@direct.ochin.org

Organizations & group practices 3

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1306007307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-418-4500",
            "fax_number": "503-418-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SW VETERANS WAY STE 120",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562588",
            "telephone_number": "541-383-3005",
            "fax_number": "541-383-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301098747",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "92066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500751068",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MEZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.