Kee Y. Shum, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

151697 Issued in NY

Legal business name

KEE Y. SHUM, M.D., P.C.

Practice address

13625 Maple Ave
Suite 205
Flushing, NY 11355-3870

Phone

(718) 463-2245

Fax

(718) 463-2290

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kee Yee Shum, M.D.NPI 1629146196

Title

President

Phone

(718) 463-2245

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBAEBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kee Yee Shum, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1629146196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1386940179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 MAPLE AVE",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553870",
            "telephone_number": "718-463-2245",
            "fax_number": "718-463-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 MAPLE AVE",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553870",
            "telephone_number": "718-463-2245",
            "fax_number": "718-463-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEE Y. SHUM, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "SHUM",
        "authorized_official_first_name": "KEE",
        "authorized_official_middle_name": "YEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-463-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "151697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01066339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kaziyev, RN
• Milana Kaziyeva, NP
• Connie Maria Keary
• Patricia Anne Keating-McCutcheon, MA, ATR- BC, LCAT
• Satishkiran Reddy Kedika, MD
• Kathleen Keefe, PSY.D
• Jennifer Keenan
• Divya R Keerthy, MD
• Yat Kim Kei, MD
• Jyoti Kelkar

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.