Individual provider Active NPI

Andrew Chung-Ming Shih, M.D.

  • Diagnostic Radiology Physician
  • Norwalk, CT
National Provider Identifier
1902029119
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
048456 Issued in CT
Practice address
148 East Ave
Suite 1R
Norwalk, CT 06851-5721
Phone
(203) 838-4886
NPI assigned
Apr 10, 2007
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 233043-1 NY
Diagnostic Radiology Physician 2085R0202X 048456 CT Primary

Addresses

Primary practice location

148 East Ave
Suite 1R
Norwalk, CT 06851-5721

Mailing address

148 East Ave
Suite 1R
Norwalk, CT 06851-5721
Phone (203) 838-4886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20090626000403 NY Practitioner - Diagnostic Radiology 4789735002 Reassigns benefits to 2 organizations
I20100812000353 CT Practitioner - Diagnostic Radiology 4789735002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health-Norwalk Radiology LLCGroup PAC ID 6709220320, 16 clinicians
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

New York, NY 10065
Phone (203) 276-4311

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000

1 Omega Dr
Stamford, CT 06907-2336

148 E Ave
Suite 1M
Norwalk, CT 06851-5721
Phone (203) 276-4311

2 Indian Hill Rd
Rye, NY 10580-3510
Phone (855) 687-7237

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
66.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048456CTMDDiagnostic Radiology Physician
233043-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Feb 26, 2021 Accepting new patients
Stamford Health-Norwalk Radiology LLC Diagnostic Radiology CurrentSince Jan 15, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
Norwalk Hospital Association Past Accepting new patients

Locations

148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886

148 East Ave
#1M
Norwalk, CT 06851
Phone (203) 276-4311

148 East Ave
Ste 1M
Norwalk, CT 06851
Phone (203) 276-4311

148 East Ave
Ste 1R
Norwalk, CT 06851
Phone (203) 838-4886

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

Interoperability endpoints

  • Direct secure messaging: ashih24659@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1902029119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "SUITE 1R",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-838-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "SUITE 1R",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-838-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "ANDREW",
        "middle_name": "CHUNG-MING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "233043-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "048456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.