NPIMap

Individual provider Active NPI

Shunei Asao, MD

  • Emergency Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1902461072
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12985842-1205 Issued in UT
Practice address
30 N 1900 E RM 1C026
Salt Lake City, UT 84132-0002
Phone
(801) 581-2272
NPI assigned
May 4, 2019
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12985842-1205 UT Primary

Addresses

Primary practice location

30 N 1900 E RM 1C026
Salt Lake City, UT 84132-0002

Mailing address

30 N 1900 E RM 1C026
Salt Lake City, UT 84132-0002
Phone (801) 581-2272

Other practice location 1

600 S Paulina St Ste 403
Chicago, IL 60612-3806
Phone (312) 942-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240820001788 CA Practitioner - Family Practice 8325422587 Reassigns benefits to 2 organizations
I20241022003633 NV Practitioner - Emergency Medicine 8325422587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Emergency Physicians Medical CorporationGroup PAC ID 0446151674, 18 clinicians

Practice addresses (Care Compare)

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Sep 1, 2024 Accepting new patients
Tahoe Emergency Physicians Medical Corporation Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Barton Healthcare System Emergency Medicine CurrentSince Aug 22, 2024 Accepting new patients
Barton Healthcare System Emergency Medicine Current Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Current Accepting new patients
Barton Healthcare System CurrentSince Aug 22, 2024 Accepting new patients
Carson Valley Medical Center Rural Health Clinic Past Accepting new patients

Locations

1501 Kirkwood Meadows Dr
#A
Kirkwood, CA 95646
Phone (209) 258-6000

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575

1111 Sierra At Tahoe Rd
Twin Bridges, CA 95735
Phone (530) 642-7549

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

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, 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": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1902461072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 1C026",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 1C026",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Paulina St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123806",
            "country_code": "US",
            "telephone_number": "312-942-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAO",
        "first_name": "SHUNEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-04",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "12985842-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.