Individual provider Active NPI

Shirley Y CHI, M.D.

  • Dermatology Physician
  • Arcadia, CA
National Provider Identifier
1902836992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A90282 Issued in CA
Practice address
301 W Huntington Dr Ste 419
Arcadia, CA 91007-1507
Phone
(626) 446-4663
Fax
(714) 777-7186
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A90282 CA Primary

Addresses

Primary practice location

301 W Huntington Dr Ste 419
Arcadia, CA 91007-1507

Mailing address

65 Crocus St
Redlands, CA 92373-4218
Phone (312) 520-8900

Other identifiers 1

IdentifierTypeStateIssuer
00A902820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001118 CA Practitioner - Dermatology 8123053147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phillip H a Lee MD and Center for Advanced DermatologyGroup PAC ID 0345545943, 4 clinicians
Center for Advanced Dermatology IncGroup PAC ID 5890888184, 3 clinicians

Practice addresses (Care Compare)

245 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 333-7773

301 W Huntington Dr
Suite 215
Arcadia, CA 91007-1528
Phone (626) 446-4663

Merit-based Incentive Payment System (MIPS)

Final score
57.5 of 100Reported as individual
Quality
15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1800
Removal of skin cancer1-10
Removal or shaving of skin growth14
Skin biopsy251

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90282CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip H a Lee MD and Center for Advanced Dermatology CurrentSince Jan 11, 2016 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

301 W Huntington Dr
Ste 215
Arcadia, CA 91007
Phone (626) 294-4866

245 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 333-7773

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902836992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CROCUS ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734218",
            "telephone_number": "312-520-8900",
            "fax_number": "714-777-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 419",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071507",
            "telephone_number": "626-446-4663",
            "fax_number": "714-777-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "SHIRLEY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A90282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A902820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.