Shiping Bao, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.134148 Issued in IL

Practice address

17336 Torrence Ave
Lansing, IL 60438-1019

Phone

(708) 765-9790

NPI assigned

Nov 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Weight Loss MD

  • Internal Medicine Physician
  • Lansing, IL
  • NPI 1134935257
  NPD Authorized official
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598711616
  NPD (past)
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Irondale, AL
  • NPI 1821031824
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1376724401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17336 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381019",
            "telephone_number": "708-765-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381019",
            "telephone_number": "708-765-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "SHIPING",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.134148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Bacon
• Kimberly Pelagio Baisa, DPT
• Reginald E Ballard Jr.
• Bandyk Podiatry
• Robert Bandyk, DPM
• Natasha Beauchamp, IBCLC
• Becker Dental Company
• Beloved Joy Therapy LLC
• Benchmark Counseling, LLC
• Laura A Biegel

• Internal Medicine Physician in Lansing, IL
• Providers in Lansing, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.