Active NPI
Alice Il Shen, MD
- Obstetrics & Gynecology Physician
- Norwood, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 220573
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2070219 | Medicaid | MA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
- Tufts Medical Center
- Brigham and Women'S Hospital
- Brown University Health Morton Hospital
- Saint Anne'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220573 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Diagnostic Services, Inc | Current | Accepting new patients | |
| Pratt OB/GYN Associates, Inc | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1336186501
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Sonography Radiologic Technologist
- Stoughton, MA
- NPI 1659377802
-
- Internal Medicine Physician
- Wakefield, MA
- NPI 1225014616
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.