Individual provider Active NPI

Wenyin Shi, MD, PHD

  • Radiation Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1821178690
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD439498 Issued in PA
Practice address
111 S 11TH St
Bodine Center
Philadelphia, PA 19107-4824
Phone
(215) 955-6702
Fax
(215) 955-5331
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD439498 PA Primary
Radiation Oncology Physician 2085R0001X TRN9177 FL

Addresses

Primary practice location

111 S 11TH St
Bodine Center
Philadelphia, PA 19107-4824

Mailing address

111 S 11TH St
Bodine Center
Philadelphia, PA 19107-4824
Phone (215) 955-6702

Other practice location 1

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3000

Other identifiers 2

IdentifierTypeStateIssuer
0233234MedicaidNJ
1024817370001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100907000203 PA Practitioner - Radiation Oncology 2163546631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

111 S 11TH St
Bodine Ctr for Cancer Trtmnt Suite 1 317
Philadelphia, PA 19107-4824
Phone (215) 955-6702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN9177FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 8, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Radiation Oncology CurrentSince Aug 8, 2024 Accepting new patients
Jefferson University Physicians CurrentSince Jul 1, 2010 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Jefferson Radiation Oncology, LLC Radiation Oncology Past Accepting new patients

Locations

3300 Tillman Dr
Ste G5
Bensalem, PA 19020

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

880 Century Dr
Mechanicsburg, PA 17055
Phone (717) 691-3235

111 S 11th St
Ste 1317
Philadelphia, PA 19107
Phone (215) 955-6702

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

900 Walnut St
Philadelphia, PA 19107
Phone (215) 503-8080

Organizations & group practices 7

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 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1821178690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "BODINE CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6702",
            "fax_number": "215-955-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "BODINE CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6702",
            "fax_number": "215-955-5331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075109",
            "country_code": "US",
            "telephone_number": "215-928-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHI",
        "first_name": "WENYIN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD439498",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "TRN9177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233234",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024817370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.