Individual provider Active NPI

Wenliang Shi, M.D.

  • Obstetrics & Gynecology Physician
  • Plano, TX
National Provider Identifier
1326054552
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L4714 Issued in TX
Practice address
3100 Midway Rd
Suite 169
Plano, TX 75093-8471
Phone
(214) 256-9666
Fax
(214) 256-9888
NPI assigned
Jul 31, 2006
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L4714 TX Primary

Addresses

Primary practice location

3100 Midway Rd
Suite 169
Plano, TX 75093-8471

Mailing address

3100 Midway Rd
Suite 169
Plano, TX 75093-8471
Phone (214) 256-9666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051114001260 TX Practitioner - Obstetrics/Gynecology 9335168830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 Midway Rd
Suite 169
Plano, TX 75093-8471

3100 Midway Rd
Suite 169
Plano, TX 75093-8473
Phone (972) 378-9666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4714TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas E & W OB/GYN Clinic, P.a. Obstetrics & Gynecology CurrentSince Aug 16, 2002 Accepting new patients

Locations

3100 Midway Rd
Ste 169
Plano, TX 75093
Phone (214) 256-9666

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1326054552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MIDWAY RD",
            "address_2": "SUITE 169",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938471",
            "telephone_number": "214-256-9666",
            "fax_number": "214-256-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MIDWAY RD",
            "address_2": "SUITE 169",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938471",
            "telephone_number": "214-256-9666",
            "fax_number": "214-256-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "WENLIANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L4714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.