Individual provider Active NPI

Alice Il Shen, MD

  • Obstetrics & Gynecology Physician
  • Norwood, MA
National Provider Identifier
1457348948
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
220573 Issued in MA
Practice address
315 Norwood Park South
Ste. 201
Norwood, MA 02062-3466
Phone
(781) 414-4150
Fax
(781) 414-4151
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 220573 MA Primary

Addresses

Primary practice location

315 Norwood Park South
Ste. 201
Norwood, MA 02062-3466

Mailing address

315 Norwood Park South
Ste 201
Norwood, MA 02062
Phone (781) 414-4150

Other identifiers 1

IdentifierTypeStateIssuer
2070219MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040804000117 MA Practitioner - Obstetrics/Gynecology 3375514318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pratt OB/GYN Associates, IncGroup PAC ID 9638060254, 60 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220573MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Diagnostic Services, Inc CurrentSince Jan 1, 2008 Accepting new patients
Pratt OB/GYN Associates, Inc Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Shriver Clinical Services Corporation Past Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

886 Washington St
Ste 2
Norwood, MA 02062
Phone (781) 551-3535

315 Norwood Park S
Ste 1
Norwood, MA 02062
Phone (857) 307-3900

Interoperability endpoints

  • Direct secure messaging: ashen88012@tuftsmedicine.direct-ci.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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1457348948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NORWOOD PARK SOUTH",
            "address_2": "STE 201",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-414-4150",
            "fax_number": "781-414-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORWOOD PARK SOUTH",
            "address_2": "STE. 201",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623466",
            "telephone_number": "781-414-4150",
            "fax_number": "781-414-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "ALICE",
        "middle_name": "IL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "220573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070219",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.