Xiyun Shao, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

245201 Issued in NY

Practice address

13633 37TH Ave
Suite 6a
Flushing, NY 11354-4110

Phone

(917) 566-8986

Fax

(718) 865-5140

NPI assigned

Sep 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• Icare U Medical P.C.

  • Health Service Clinic/Center
  • Flushing, NY
  • NPI 1316216013
  Medicare reassignment NPD Authorized official
• Long Island Home Visiting Physician, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Flushing, NY
  • NPI 1255519971
  NPD

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1396931085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JEAN PL",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13633 37TH AVE",
            "address_2": "SUITE 6A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544110",
            "telephone_number": "917-566-8986",
            "fax_number": "718-865-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "XIYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Yee Tao Shang
• Allan Shanin
• Chunying Shao, NP
• Tzu-Wei Shao
• Wales R Shao, M.D.
• Marisa M Shapiro, MD
• Mark Shapiro, MD
• Natasha Shapiro, M.D.
• Richard Shapiro, DPT
• Vivian Shapiro

• 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 Oct 4, 2016; 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.

Verify at the official NPI Registry.