Individual provider Active NPI

Shih-Te Wen, MD

  • Cardiovascular Disease Physician
  • Newburyport, MA
National Provider Identifier
1801887997
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
202871 Issued in MA
Practice address
7 Henry Graf Road
Newburyport, MA 01950
Phone
(978) 462-1110
Fax
(978) 462-3889
NPI assigned
Oct 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 202871 MA
Cardiovascular Disease Physician 207RC0000X 202871 MA Primary

Addresses

Primary practice location

7 Henry Graf Road
Newburyport, MA 01950

Mailing address

7 Henry Graf Road
Newburyport, MA 01950
Phone (978) 462-1110

Other identifiers 2

IdentifierTypeStateIssuer
2128187MedicaidMA
30205892MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051221000636 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3779505532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newburyport Cardiovascular Associates, LLCGroup PAC ID 0143548198, 9 clinicians

Practice addresses (Care Compare)

7 Henry Graf Jr Rd
Newburyport, MA 01950-4014
Phone (978) 462-1110

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202871MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newburyport Cardiovascular Associates, LLC Cardiovascular Disease CurrentSince Apr 1, 2015 Accepting new patients

Locations

7 Henry Graf Jr Rd
Ste 1A
Newburyport, MA 01950
Phone (978) 462-1110

7 Henry Graf Jr Rd
Newburyport, MA 01950
Phone (978) 255-4607

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

Interoperability endpoints

  • Direct secure messaging: swen448911@direct.bilh.masshiway.net

Organizations & group practices 1

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": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1801887997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HENRY GRAF ROAD",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-1110",
            "fax_number": "978-462-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HENRY GRAF ROAD",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-462-1110",
            "fax_number": "978-462-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEN",
        "first_name": "SHIH-TE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-29",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "202871",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "202871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128187",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205892",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.