Individual provider Active NPI

Elaine Shiang, M.D.

  • Diagnostic Radiology Physician
  • East Syracuse, NY
National Provider Identifier
1770876161
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
336475 Issued in NY
Practice address
5000 Brittonfield Pkwy Ste A112
East Syracuse, NY 13057-9215
Phone
(152) 344-6803
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 336475 NY Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy Ste A112
East Syracuse, NY 13057-9215

Mailing address

PO Box 2004
East Syracuse, NY 13057-4504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 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
I20170812000029 IL Practitioner - Diagnostic Radiology 9032408919 Reassigns benefits to 1 organization
I20210309001943 OH Practitioner - Diagnostic Radiology 9032408919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians
Medical Imaging Center LLPGroup PAC ID 7911991831, 38 clinicians

Practice addresses (Care Compare)

4126 Clairmont Rd
Columbus, OH 43220-4502
Phone (315) 234-7608

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336475NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Inc Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Sep 4, 2025 Accepting new patients
Medical Imaging Center LLP CurrentSince Oct 7, 2025 Accepting new patients

Locations

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

5000 Brittonfield Pkwy
Ste A112
East Syracuse, NY 13057
Phone (315) 234-4680

5969 E Broad St
Ste 102
Columbus, OH 43213
Phone (614) 234-1500

Dept L647
Columbus, OH 43260

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522

Organizations & group practices 4

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 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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1770876161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2004",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE A112",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579215",
            "telephone_number": "152-344-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIANG",
        "first_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "336475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.