Shimin Cao, M.D. PH.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

262917 Issued in NY

Practice address

3808 Union St Ste 6B
Flushing, NY 11354-5672

Phone

(618) 559-6549

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Cao & Associates Medicine PLLC

  • Primary Care Clinic/Center
  • Flushing, NY
  • NPI 1487121398
  Medicare reassignment NPD Authorized official
• Heartland Internal Medicine LTD

  • Internal Medicine Physician
  • Herrin, IL
  • NPI 1588752703
  NPD Authorized official
• Nutriall Wellness Center LLC

  • Registered Dietitian
  • Bayside, NY
  • NPI 1053033365
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1922100213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 150TH PL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542423",
            "telephone_number": "618-559-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 6B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545672",
            "telephone_number": "618-559-6549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13743 45th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113554048",
            "country_code": "US",
            "telephone_number": "929-362-3006",
            "fax_number": "929-362-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13626 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113546533",
            "country_code": "US",
            "telephone_number": "718-886-1200",
            "fax_number": "718-886-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "SHIMIN",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03517851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cao & Chen Medical LLP
• Jingjing Cao
• Junhong Cao, PH.D.
• Kent Bin Cao, M.D.
• Ning Cao, M.D.
• Yang Cao
• You Jun Cao
• Yu Hao Cao, NP
• Krystal C Cappas Cordero, MD
• Capstone Health Inc

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.