Individual provider Active NPI

Shawn Xun Mei, MD

  • Interventional Pain Medicine Physician
  • Gulfport, MS
National Provider Identifier
1407912223
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
18456 Issued in MS
Practice address
15164 Dedeaux Rd
Ste B
Gulfport, MS 39503-3124
Phone
(228) 284-1642
Fax
(228) 284-1643
NPI assigned
Dec 28, 2006
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01059275A IN
Anesthesiology Physician 207L00000X 052181 GA
Anesthesiology Physician 207L00000X 35082500M OH
Anesthesiology Physician 207L00000X A87740 CA
Anesthesiology Physician 207L00000X 0101233699 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X PC-00065 MS
Interventional Pain Medicine Physician 208VP0014X 18456 MS Primary

Addresses

Primary practice location

15164 Dedeaux Rd
Ste B
Gulfport, MS 39503-3124

Mailing address

15164 Dedeaux Rd
Ste B
Gulfport, MS 39503-3124
Phone (228) 284-1642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20040903000690 MS Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3072589704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15164 Dedeaux Rd
Gulfport, MS 39503-3124
Phone (228) 284-1642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87740CAMDAnesthesiology Physician
052181GAMDAnesthesiology Physician
01059275AINMDAnesthesiology Physician
35082500MOHMDAnesthesiology Physician
0101233699VAMDAnesthesiology Physician
PC-00065MSMDPain Medicine (Anesthesiology) Physician
18456MSMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Interventional Pain Management Clinic, Inc Current Accepting new patients
Seahorse Anesthesia Anesthesiology CurrentSince Oct 5, 2024 Accepting new patients
Gulf Coast Interventional Pain Management Clinic, Inc. Pain Medicine CurrentSince Sep 20, 2012 Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Pain Medicine Past Accepting new patients
Northeast Indiana Anesthesiology, PC Anesthesiology Past Accepting new patients
Summit Anesthesia, LLC Anesthesiology Past Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients
Seahorse Anesthesia LLC Anesthesiology PastSince Dec 8, 2024 Accepting new patients

Locations

2781 C T Switzer SR Dr
Ste 101
Biloxi, MS 39531
Phone (228) 594-2900

15164 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 284-1642

15164 Dedeaux Rd
Ste B
Gulfport, MS 39503
Phone (228) 284-1642

Interoperability endpoints

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

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1407912223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15164 DEDEAUX RD",
            "address_2": "STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033124",
            "telephone_number": "228-284-1642",
            "fax_number": "228-284-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15164 DEDEAUX RD",
            "address_2": "STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033124",
            "telephone_number": "228-284-1642",
            "fax_number": "228-284-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEI",
        "first_name": "SHAWN",
        "middle_name": "XUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059275A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "052181",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35082500M",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A87740",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101233699",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "PC-00065",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "18456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.