Active NPI
Michael Yuan Shy, M.D. PH.D.
- Urology Physician
- Rego Park, NY
National Provider Identifier
1396067609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 278900
- Practice address
- 92-29 Queens Blvd.
Suite 2B
Rego Park, NY 11374-1072 - Phone
- (718) 606-6912
- Fax
- (718) 606-6914
- NPI assigned
- Feb 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 278900 | NY | Primary |
Addresses
Primary practice location
92-29 Queens Blvd.
Suite 2B
Rego Park, NY 11374-1072
Mailing address
92-29 Queens Blvd.
Suite 2B
Rego Park, NY 11374-1072
Phone (718) 606-6912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- State University of New York Downstate Medical Center, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919
Hospital & facility affiliations
- Lincoln Medical & Mental Health Center
- New York-Presbyterian/Queens
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amb Medical Services, P.C. | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Christopher M. Dixon, M.D. PLLC | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mis2051@direct.nyp.org
- mshy841302@nychhc.direct-ci.com
- michael.y.shy.1@9248.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Hauppauge, NY
- NPI 1568534766
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Specialist
- New York, NY
- NPI 1710208582
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1396067609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-29 QUEENS BLVD.",
"address_2": "SUITE 2B",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741072",
"telephone_number": "718-606-6912",
"fax_number": "718-606-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92-29 QUEENS BLVD.",
"address_2": "SUITE 2B",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741072",
"telephone_number": "718-606-6912",
"fax_number": "718-606-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHY",
"first_name": "MICHAEL",
"middle_name": "YUAN",
"name_prefix": "Dr.",
"credential": "M.D. PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-28",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "278900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.