Shirley Shue, MD
Individual provider Active NPI Plastic Surgery Physician · Columbus, OH
NPI 1831695121 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1831695121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 35.153160 (OH)
- Practice address
- 915 Olentangy River Rd Ste 2140
Columbus, OH 43212-3153 - Phone
- (614) 293-8566
- Fax
- (614) 293-3381
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osu Plastic Surgery LLC
Practice addresses (Care Compare)
915 Olentangy River Rd
Columbus, OH 43212-3153
Phone (614) 293-8566
Hospital & facility affiliations
- Ohio State University State Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, OH
- 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 |
|---|---|---|---|---|
| I20240710001657 | MA | Practitioner - Plastic and Reconstructive Surgery | 4284983248 | Reassigns benefits to 2 organizations |
| I20250717003422 | OH | Practitioner - Plastic and Reconstructive Surgery | 4284983248 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286436 | MA | MD | Plastic Surgery Physician |
| 35.153160 | OH | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current |
Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current |
Accepting new patients | |
| Osu Plastic Surgery LLC | Plastic Surgery | Current |
Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
915 Olentangy River Rd
Ste 2140
Columbus, OH 43212
915 Olentangy River Rd
Columbus, OH 43212
915 Olentangy River Rd
Fl 2
Columbus, OH 43212
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
Interoperability endpoints
- sshue1589892@direct.osumc.edu
- shue.shirley.mgh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 286436 | MA | |
| Plastic Surgery Physician | 208200000X | 35.153160 | OH | Yes |
Addresses
Primary practice location
915 Olentangy River Rd Ste 2140
Columbus, OH 43212-3153
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8566
Other practice location 1
55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000
NPI Registry JSON
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1831695121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 OLENTANGY RIVER RD STE 2140",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432123153",
"telephone_number": "614-293-8566",
"fax_number": "614-293-3381"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142696",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUE",
"first_name": "SHIRLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "286436",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OH",
"license": "35.153160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Carley Ann Shroyer
- Nicole D Shroyer
- Scott Shryock
- Yuliya Shteynberg
- George Shu
- Aleasha L Shuemak
- Mohammad Taimur Shujaat
- Chittaranjan Jayshanker Shukla
- Vinayak Shukla
- Evan Jacob Shuler
All providers in Columbus, OH · Plastic Surgery Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. 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.