Individual provider Active NPI

Wolfgang William Shay, DO

  • Family Medicine Physician
  • Phoenixville, PA
National Provider Identifier
1619961455
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003860L Issued in PA
Practice address
1220 Valley Forge Rd Ste 35
Phoenixville, PA 19460-2676
Phone
(610) 933-1688
Fax
(610) 983-0698
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X KO000001L PA
Family Medicine Physician 207Q00000X OS003860L PA Primary

Addresses

Primary practice location

1220 Valley Forge Rd Ste 35
Phoenixville, PA 19460-2676

Mailing address

657 Stamp St
Phoenixville, PA 19460-0410
Phone (610) 842-3070

Other identifiers 1

IdentifierTypeStateIssuer
00680130MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070813000458 PA Practitioner - Family Practice 7618068172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.57 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KO000001LPAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Jul 1, 2009 Accepting new patients
Steiner Medical and Therapeutic Center PastSince Jan 22, 2023 Accepting new patients
Meadowloft, LLC Family Medicine Past Accepting new patients

Locations

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

Interoperability endpoints

  • Direct secure messaging: wshay@smtc.curemd.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1619961455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 STAMP ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194600410",
            "telephone_number": "610-842-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VALLEY FORGE RD STE 35",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602676",
            "telephone_number": "610-933-1688",
            "fax_number": "610-983-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "WOLFGANG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "KO000001L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003860L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00680130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.