Active NPI
Elizabeth Rose Shih, M.D.
- Family Medicine Physician
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 92066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500751068 | Medicaid | OR |
Other names 1
- Elizabeth Meza
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
Enrollment records 1
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
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
- St. Charles Home Health Services
- St Charles Medical Center - Bend
- St Charles Medical Center Prineville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098747 | MI | MD | Family Medicine Physician |
| 92066 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current | Accepting new patients | |
| Mosaic Medical Dental | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Federally Qualified Health Center (FQHC)
- Redmond, OR
- NPI 1942738588
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- Home Health Agency
- Bend, OR
- NPI 1144215542
-
- Home Health Agency
- Madras, OR
- NPI 1225226004
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.