Scott R. Shay, M.D.
Individual provider Active NPI Vascular & Interventional Radiology Physician · Dededo, GU
NPI 1720175847 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1720175847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- M-1951 (GU)
- Practice address
- 133 Route 3
Guam Regional Medical City
Dededo, GU 96929-6911 - Phone
- (671) 645-5500
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Guam Healthcare Development Incorporated
Guam X-Ray
Guam Memorial Hospital
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
633 Gov Carlos Camacho Rd
Suite 210
Tamuning, GU 96913
Phone (671) 649-1001
850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
Hospital & facility affiliations
- Guam Regional Medical City
- Guam Memorial Hospital Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 83.57
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.1 of 100
- Quality
- 100
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 79.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 78.84
- Improvement activities
- 40
- Cost
- 61.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 105 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160229001163 | GU | Practitioner - Interventional Radiology |
8426008988 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1951 | GU | MD | Vascular & Interventional Radiology Physician |
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam X-Ray | Diagnostic Radiology | Current |
Accepting new patients |
| Guam Healthcare Development Incorporated | Current |
Accepting new patients | |
| University of Maryland Diagnostic Imaging Specialists P a | Neuroradiology | Past | Accepting new patients |
| University Imaging Specialists | Diagnostic Radiology | Past | Accepting new patients |
| Pensacola Radiology Consultants PA | Diagnostic Radiology | Past |
Accepting new patients |
| Pet LLC | Past |
Accepting new patients | |
| Tuhc Radiology Group LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | M-1951 | GU | |
| Neuroradiology Physician | 2085N0700X | MD444013 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | M-1951 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | MD444013 | PA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | M-1951 | GU | Yes |
Addresses
Primary practice location
133 Route 3
Guam Regional Medical City
Dededo, GU 96929-6911
Mailing address
PO Box 3830
Guam Regional Medical City
Hagatna, GU 96932-3830
Phone (671) 645-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026448230001 | Medicaid | PA |
NPI Registry JSON
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1720175847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3830",
"address_2": "GUAM REGIONAL MEDICAL CITY",
"city": "HAGATNA",
"state": "GU",
"postal_code": "969323830",
"telephone_number": "671-645-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ROUTE 3",
"address_2": "GUAM REGIONAL MEDICAL CITY",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969296911",
"telephone_number": "671-645-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAY",
"first_name": "SCOTT",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "GU",
"license": "M-1951",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "MD444013",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "M-1951",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD444013",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GU",
"license": "M-1951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026448230001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dededo, GU
- Joel Marc C Rubio
- Manilyn Sarinas Salalila
- Elizabeth Dizon Santos
- Edmund Schroeder Jr.
- Benito Santos Servino
- Noel Deguzman Silan
- Maridel Somera
- Chad Michael Springer
- Kristine Stanley
- Tracy Repancol Sunga
All providers in Dededo, GU · Vascular & Interventional Radiology Physician in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.