Individual provider Active NPI

Shelly Teng Teng Hsiao, PA

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1629485230
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
074457 Issued in IA
Practice address
3640 Middlebury Rd Dept of
Iowa City, IA 52245-2712
Phone
(319) 353-6314
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 074457 IA Primary

Addresses

Primary practice location

3640 Middlebury Rd Dept of
Iowa City, IA 52245-2712

Mailing address

3640 Middlebury Rd
Iowa City, IA 52245-2712

Other practice location 1

2710 N Dodge St Ste 1
Iowa City, IA 52245-8301
Phone (319) 450-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000926 IA Practitioner - Physician Assistant 0042439549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Sep 3, 2014 Accepting new patients
State University of Iowa CurrentSince Sep 3, 2014 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

200 Hawkins Dr
#1923
Iowa City, IA 52242

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

Interoperability endpoints

  • Direct secure messaging: shsiao63964@uihcdirect.org

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1629485230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MIDDLEBURY RD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MIDDLEBURY RD DEPT OF",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452712",
            "telephone_number": "319-353-6314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 N Dodge St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522458301",
            "country_code": "US",
            "telephone_number": "319-450-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSIAO",
        "first_name": "SHELLY",
        "middle_name": "TENG TENG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "074457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.