Kee Yee Shum, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

151697 Issued in NY

Practice address

136 25 Maple Avenue
Suite 205
Flushing, NY 11355-3891

Phone

(718) 463-2245

Fax

(718) 463-2290

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal MedicineAlso: Medical Oncology

Education

JS Weill Medical College, Cornell University, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

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

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.

• Kee Y. Shum, M.D., P.C.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1386940179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425772800000",
    "number": "1629146196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 25 MAPLE AVENUE",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553891",
            "telephone_number": "718-463-2245",
            "fax_number": "718-463-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 25 MAPLE AVENUE",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553891",
            "telephone_number": "718-463-2245",
            "fax_number": "718-463-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUM",
        "first_name": "KEE",
        "middle_name": "YEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "151697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01066339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davida Shubowitz, OTR/L
• Hari Krishna Shukla, MD
• Esther Shulman
• Evan Seth Shulman, P.A.
• Jennifer Shum, MD
• Lawrence Shum, DDS
• Patricia Joy Shur, RN
• Juliey Shyu
• Michelle Xuejia Si, NP
• Eugene John Siagris, RPH

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; 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.

Verify at the official NPI Registry.