Individual provider Active NPI

Shuyi Cao

  • Physician Assistant
  • Conroe, TX
National Provider Identifier
1336724947
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15025 Issued in TX
Practice address
1020 Riverwood CT Ste 200
Conroe, TX 77304-2974
Phone
(936) 228-4167
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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 PA15025 TX Primary

Addresses

Primary practice location

1020 Riverwood CT Ste 200
Conroe, TX 77304-2974

Mailing address

1020 Riverwood CT Ste 200
Conroe, TX 77304-2974
Phone (936) 228-4167

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210000720 TX Practitioner - Physician Assistant 1759774995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen M Sims MD PAGroup PAC ID 3476655499, 5 clinicians

Practice addresses (Care Compare)

1020 Riverwood CT
Suite 200
Conroe, TX 77304-2974
Phone (936) 756-3444

133 Medical Park LN
Suite B
Huntsville, TX 77340-4979
Phone (936) 730-8833

Hospital & facility affiliations

  • Aspire Hospital Hospital, Conroe, TX, CCN 670093

Merit-based Incentive Payment System (MIPS)

Final score
92.29 of 100Reported as group
Quality
81.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15025TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M. Sims, MD, PA CurrentSince Jan 3, 2022 Accepting new patients
Conroe Ambulatory Anesthesia PA Past Accepting new patients

Locations

1020 Riverwood Ct
Ste 200
Conroe, TX 77304
Phone (936) 703-5086

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23958/brand/1/csg/1/fhir/r4

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 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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1336724947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "936-228-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "936-228-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "SHUYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.