Individual provider Active NPI

Ted Shen, MD

  • Otolaryngology Physician
  • Arcadia, CA
National Provider Identifier
1679761043
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A94938 Issued in CA
Practice address
225 S 1St Ave Ste 201
Arcadia, CA 91006-3662
Phone
(626) 737-6200
Fax
(626) 737-6202
NPI assigned
Oct 10, 2007
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A94938 CA Primary
Facial Plastic Surgery Physician 207YS0123X A94938 CA
Otolaryngic Allergy Physician 207YX0602X A94938 CA

Addresses

Primary practice location

225 S 1St Ave Ste 201
Arcadia, CA 91006-3662

Mailing address

51 N 5TH Ave Ste 200
Arcadia, CA 91006-3712
Phone (626) 737-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100630000844 CA Practitioner - Otolaryngology 6608907910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 S 1St Ave
Suite 201
Arcadia, CA 91006-3662
Phone (626) 737-6200

301 S Fair Oaks Ave
Suite 406
Pasadena, CA 91105-2562
Phone (626) 737-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as individual
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94938CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ted Shen M.D., Inc Otolaryngology CurrentSince Mar 4, 2010 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

225 S 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 737-6200

51 N 5th Ave
Ste 200
Arcadia, CA 91006
Phone (626) 576-1214

301 S Fair Oaks Ave
Ste 406
Pasadena, CA 91105
Phone (626) 577-5437

960 E Green St
Ste 101
Pasadena, CA 91106
Phone (626) 449-1944

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1679761043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE STE 200",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063712",
            "telephone_number": "626-737-6200",
            "fax_number": "626-737-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 1ST AVE STE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063662",
            "telephone_number": "626-737-6200",
            "fax_number": "626-737-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "TED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A94938",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A94938",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CA",
            "license": "A94938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.