Individual provider Active NPI

Shang A. Loh, MD

  • Vascular Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1659459543
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD474348 Issued in PA
Practice address
3737 Market St FL 4
Philadelphia, PA 19104-5544
Phone
(215) 662-9660
Fax
(215) 243-4649
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD474348 PA Primary

Addresses

Primary practice location

3737 Market St FL 4
Philadelphia, PA 19104-5544

Mailing address

3737 Market St FL 4
Philadelphia, PA 19104-5544
Phone (215) 662-9660

Other identifiers 1

IdentifierTypeStateIssuer
00A930700MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715000559 PA Practitioner - General Surgery 5294742805 Reassigns benefits to 2 organizations
I20220728001865 NJ Practitioner - General Surgery 5294742805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1865 Route 70 E 260
Cherry Hill Vas Surg
Cherry Hill, NJ 08003-2013
Phone (215) 662-2069

3737 Market St
FL 4
Philadelphia, PA 19104-5544
Phone (215) 662-9660

51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal20
Leg revascularization (restoring blood flow)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD474348PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Nov 19, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Vascular Surgery CurrentSince Jun 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients

Locations

1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664

51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

145 King of Prussia Rd
Ste 110
Wayne, PA 19087
Phone (610) 902-2273

Organizations & group practices 9

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 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1659459543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARKET ST FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045544",
            "telephone_number": "215-662-9660",
            "fax_number": "215-243-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARKET ST FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045544",
            "telephone_number": "215-662-9660",
            "fax_number": "215-243-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOH",
        "first_name": "SHANG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD474348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A930700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.