Kimberly Rachel Shao, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

DR.0070227 Issued in CO

Practice address

355 Union Blvd Ste 300
Lakewood, CO 80228-1508

Phone

(720) 915-5343

Fax

(720) 615-4812

NPI assigned

Apr 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, NY, CO3 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 3

Specialty

Dermatology

Education

Perelman School of Med at the University of Pennsylvania, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dayton Skin Surgery Center IncGroup PAC ID 2365455276, 8 clinicians

Sora Dermatology LLCGroup PAC ID 0547612335, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.64 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.12

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00366
• Direct secure messaging: kimberly.shaomd.p1@direct.daytonskin.nextgenshare.com
• Direct secure messaging: kimberly.shao@xdr.hhchealthdirect.org

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.

• Sora Dermatology, LLC

  • Dermatology Physician
  • Lakewood, CO
  • NPI 1497520308
  Medicare reassignment Care Compare group NPD
• Dayton Skin Surgery Center Inc

  • MOHS-Micrographic Surgery Physician
  • Dayton, OH
  • NPI 1710932454
  Medicare reassignment Care Compare group NPD
• Goldman Dermatology, PLLC

  • Specialist
  • New York, NY
  • NPI 1154311900
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1891282547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281508",
            "telephone_number": "720-915-5343",
            "fax_number": "720-615-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281508",
            "telephone_number": "720-915-5343",
            "fax_number": "720-615-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Governors Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454091330",
            "country_code": "US",
            "telephone_number": "937-293-5567",
            "fax_number": "937-293-5568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Broadway Rm 1110",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384357",
            "country_code": "US",
            "telephone_number": "212-962-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAO",
        "first_name": "KIMBERLY",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35.144767",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "324374",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR.0070227",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.144767",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "324374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Carson Shain, LPC, MA, LAC, SOMB
• Heather Matheson Shanahan, M.S.P.T.
• Tyson Lee Shanholtzer
• Jennifer Rose Shanley
• Lindsay Shanley, PA-C
• Cora Shapiro
• Debra Joy Shapiro, LIC. AC.
• Ivori Alexandria Shappy, PH.D.
• David Sharer, DR, MD
• Aarti Sharma, M.D.

• MOHS-Micrographic Surgery Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• MOHS-Micrographic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.