Individual provider Active NPI

Moses Kun-CHI Shieh, D.O.

  • Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1457367955
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS10312 Issued in FL
Practice address
15730 New Hampshire CT Ste 101
Fort Myers, FL 33908-5539
Phone
(239) 565-8295
NPI assigned
Aug 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS10312 FL Primary

Addresses

Primary practice location

15730 New Hampshire CT Ste 101
Fort Myers, FL 33908-5539

Mailing address

15730 New Hampshire CT Ste 101
Fort Myers, FL 33908-5539
Phone (239) 565-8295

Other identifiers 1

IdentifierTypeStateIssuer
280678900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080514000848 FL Practitioner - General Surgery 6608844030

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.98 of 100Reported as group
Quality
97.84
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10312FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Healing Arts Center, LLC Surgery CurrentSince Oct 1, 2011 Accepting new patients
McLaren Macomb Past Accepting new patients
Simmons Surgical Services LLC Past Accepting new patients
Metro Alliance Surgery Center LLC PastSince Jan 31, 2024 Accepting new patients

Locations

13300 S Cleveland Ave
Ste 56
Fort Myers, FL 33907
Phone (239) 344-9786

6150 Diamond Centre Ct
Ste 1300
Fort Myers, FL 33912
Phone (239) 344-9786

6150 Diamond Centre Ct
Unit 1201
Fort Myers, FL 33912
Phone (239) 344-9786

6201 Alliance Ln
Ste 100
Fort Myers, FL 33912
Phone (239) 343-1176

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHEGAD
  • Direct secure messaging: moses.shieh@shac.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457367955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15730 NEW HAMPSHIRE CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085539",
            "telephone_number": "239-565-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15730 NEW HAMPSHIRE CT STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085539",
            "telephone_number": "239-565-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEH",
        "first_name": "MOSES",
        "middle_name": "KUN-CHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS10312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280678900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.