Individual provider Active NPI

Spencer Hsiao-Yang Shao, M.D.

  • Medical Oncology Physician
  • Portland, OR
National Provider Identifier
1841293420
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD20407 Issued in OR
Practice address
265 N Broadway St
Portland, OR 97227-1800
Phone
(503) 280-1223
Fax
(503) 528-5252
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD20407 OR Primary

Addresses

Primary practice location

265 N Broadway St
Portland, OR 97227-1800

Mailing address

265 N Broadway St
Portland, OR 97227-1800
Phone (503) 280-1223

Other identifiers 2

IdentifierTypeStateIssuer
150520MedicaidOR
1020338MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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
I20100310000952 WA Practitioner - Hematology/Oncology 5890830129 Reassigns benefits to 1 organization
I20101228000974 OR Practitioner - Hematology/Oncology 5890830129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Duke University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Cancer Specialists PCGroup PAC ID 8426943838, 70 clinicians

Practice addresses (Care Compare)

12123 SW 69TH Ave
Tigard, OR 97223-8514
Phone (971) 708-7600

210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889

265 N Broadway
Portland, OR 97227-1800
Phone (503) 280-1223

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20407ORMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Cancer Specialists PC CurrentSince Jan 1, 2000 Accepting new patients
Northwest Cancer Specialists PC CurrentSince Jan 1, 2000 Accepting new patients

Locations

12535 SE 82nd Ave
Happy Valley, OR 97015
Phone (503) 915-9174

265 N Broadway
Portland, OR 97227
Phone (503) 280-1223

210 SE 136th Ave
Vancouver, WA 98684
Phone (360) 944-9889

1498 SE Tech Center Pl
Ste 240
Vancouver, WA 98683
Phone (360) 597-1309

Interoperability endpoints

  • Direct secure messaging: spencer.shao@compass.ikm.direct-ci.com

Organizations & group practices 2

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 7

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1841293420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271800",
            "telephone_number": "503-280-1223",
            "fax_number": "503-528-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271800",
            "telephone_number": "503-280-1223",
            "fax_number": "503-528-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "SPENCER",
        "middle_name": "HSIAO-YANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD20407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150520",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020338",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.