NPIMap

Individual provider Active NPI

Mary Sheu, MD

  • Dermatology Physician
  • Menlo Park, CA
National Provider Identifier
1659338705
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0066528 Issued in MD
Practice address
1225 Crane St
Menlo Park, CA 94025-4257
Phone
(650) 323-0276
Fax
(650) 323-8540
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A87191 CA
Dermatology Physician 207N00000X D0066528 MD Primary

Addresses

Primary practice location

1225 Crane St
Menlo Park, CA 94025-4257

Mailing address

1225 Crane St
Menlo Park, CA 94025-4257
Phone (650) 323-0276

Other practice location 1

10755 Falls Rd
Pavilion I
Lutherville, MD 21093-4515
Phone (410) 502-7774

Other identifiers 2

IdentifierTypeStateIssuer
015855100MedicaidMD
MMM00087MOtherNHIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000361 CA Practitioner - Dermatology 2163452269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crane Street DermatologyGroup PAC ID 2466772595, 3 clinicians

Practice addresses (Care Compare)

1225 Crane St
Menlo Park, CA 94025-4253
Phone (650) 323-0276

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Quality
90.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions680
Removal or shaving of skin growth1-10
Skin biopsy432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87191CAMDDermatology Physician
D0066528MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crane Street Dermatology Dermatology CurrentSince Sep 15, 2020 Accepting new patients

Locations

1225 Crane St
Ste 102
Menlo Park, CA 94025
Phone (650) 323-0276

Interoperability endpoints

  • Direct secure messaging: sheu@blumenkranz.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1659338705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254257",
            "telephone_number": "650-323-0276",
            "fax_number": "650-323-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254257",
            "telephone_number": "650-323-0276",
            "fax_number": "650-323-8540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10755 Falls Rd",
            "address_2": "Pavilion I",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210934515",
            "country_code": "US",
            "telephone_number": "410-502-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEU",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A87191",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0066528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015855100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC",
            "identifier": "MMM00087M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.