Samuel Y Shiu, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00032279 Issued in WA

Practice address

1940 116TH Ave NE
# 200
Bellevue, WA 98004-3074

Phone

(425) 462-7333

Fax

(425) 462-5641

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WA

  Medicare reassignment NPD
• Samuel Y Shiu

  • Specialist
  • Bellevue, WA
  • NPI 1265465793
  NPD (past) Authorized official
• B Chue Consulting, P.S.

  • Medical Oncology Physician
  • Seattle, WA
  • NPI 1174849855
  NPD (past)
• Dale E Epper MD

  • Family Medicine Physician
  • Renton, WA
  • NPI 1194714790
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1710970207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043074",
            "telephone_number": "425-462-7333",
            "fax_number": "425-462-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE",
            "address_2": "# 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043074",
            "telephone_number": "425-462-7333",
            "fax_number": "425-462-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIU",
        "first_name": "SAMUEL",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD32279",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00032279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "010064233",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113380",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Shirai, LMHCA
• Bryan Shireman, D.D.S
• Andrea Shirey, LMHC
• Peter Shirey
• Shirin Issa MD PLLC
• Jane Shively-Helbig
• David William Shneidman, MD
• Lori Shoemaker, LMHC, MSW
• Stacey Lynn Shook, PHD
• Mayank Shorey, DDS

• General Practice Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.