Individual provider Active NPI

Shelby Qian Chien, M.D., PHD

  • Anesthesiology Physician
  • Hobart, IN
National Provider Identifier
1376501841
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036122447 Issued in IL
Practice address
1500 S Park Lake Ave
Hobart, IN 46342
Phone
(219) 947-6425
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01062776A IN
Anesthesiology Physician 207L00000X E-2126 AR
Anesthesiology Physician 207L00000X 036122447 IL Primary

Addresses

Primary practice location

1500 S Park Lake Ave
Hobart, IN 46342

Mailing address

217 Laura LN
Hobart, IN 46342-6308
Phone (479) 719-9053

Other identifiers 1

IdentifierTypeStateIssuer
141313001MedicaidAR

Other names 1

  • Xiao-Bing Qian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070727000153 IN Practitioner - Anesthesiology 3577516111 Reassigns benefits to 1 organization
I20091109000380 IL Practitioner - Anesthesiology 3577516111 Reassigns benefits to 2 organizations
I20200108000561 CA Practitioner - Anesthesiology 3577516111

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

Hospital & facility affiliations

  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-2126ARMDAnesthesiology Physician
036122447ILMDAnesthesiology Physician
01062776AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Qian M.D. Inc. CurrentSince Dec 1, 2019 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Qian M.D. Inc. CurrentSince Dec 1, 2019 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Sep 23, 2020 Accepting new patients
Encompass Procedure Center Current Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Community Anesthesia & Pain Treatment, LLC Anesthesiology Past Accepting new patients
Western Arkansas Anesthesiology Associates P.a. Anesthesiology Past Accepting new patients

Locations

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1376501841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LAURA LN",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426308",
            "telephone_number": "479-719-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S PARK LAKE AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "46342",
            "telephone_number": "219-947-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEN",
        "first_name": "SHELBY",
        "middle_name": "QIAN",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01062776A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-2126",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036122447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141313001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIAO-BING",
            "last_name": "QIAN",
            "credential": "M.D., PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.