Individual provider Active NPI

Ming-Che Shen, PA

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1306290168
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019298 Issued in NY
Practice address
601 Elmwood Ave # Ac-4
Rochester, NY 14642-4303
Phone
(585) 275-5531
Fax
(585) 276-1883
NPI assigned
Apr 19, 2016
Last updated
May 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019298 NY Primary

Addresses

Primary practice location

601 Elmwood Ave # Ac-4
Rochester, NY 14642-4303

Mailing address

601 Elmwood Avenue Box 705
Rochester, NY 14642-0001
Phone (585) 275-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624001433 NY Practitioner - Physician Assistant 2567753304 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U of R Plastic SurgeonsGroup PAC ID 5294726238, 18 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-1000

601 Elmwood Ave Box
Suite 278911
Rochester, NY 14642-0001

601 Elmwood Ave Box Surg
Rochester, NY 14642-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince May 1, 2024 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince May 1, 2024 Accepting new patients
University of Rochester PastSince May 28, 2023 Accepting new patients

Locations

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#4
Rochester, NY 14642
Phone (585) 275-4711

601 Elmwood Ave
#705
Rochester, NY 14642
Phone (585) 275-7978

625 Elmwood Ave
Rochester, NY 14620
Phone (585) 275-5051

625 Elmwood Ave
#683
Rochester, NY 14620
Phone (585) 275-5051

625 Elmwood Ave
#683B
Rochester, NY 14620

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1306290168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE BOX 705",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-5531",
            "fax_number": "585-276-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE # AC-4",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146424303",
            "telephone_number": "585-275-5531",
            "fax_number": "585-276-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "MING-CHE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.