Active NPI
Shan Huang, M.D.
- Surgery Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 76281
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (914) 493-7000
- NPI assigned
- Jun 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 76281 | MT | Primary |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
330 E 70TH St Apt 3G
New York, NY 10021-8638
Phone (516) 417-3436
Other practice location 1
1333 Surgical Services Way
Kalispell, MT 59901-4844
Phone (406) 751-5392
Other practice location 2
1901 1st Ave
Metropolitan Hospital Center Department of Surgery
New York, NY 10029-7404
Phone (212) 423-6058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4207 James Casey St
Suite 304
Austin, TX 78745-1193
Phone (512) 428-4441
Hospital & facility affiliations
- St David's South Austin Medical Center
- Baylor Scott & White Medical Center - Marble Falls
- St David's Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76281 | MT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Acute Care Surgery LLC | Surgery | Current | Accepting new patients |
| St. David's Healthcare Partnership, L.P., LLP | Past | Accepting new patients |
Locations
4207 James Casey St
Ste 304
Austin, TX 78745
Phone (512) 402-5806
Interoperability endpoints
- shuang1147267@wm.providencedirect.org
- shan.huang.1@27482.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Austin, TX
- NPI 1699430298
-
dba St. David's South Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Marble Falls
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
-
dba St. David's South Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
-
dba Heart Hospital of Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1942659479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 70TH ST APT 3G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100218638",
"telephone_number": "516-417-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7000"
}
],
"practiceLocations": [
{
"address_1": "1333 Surgical Services Way",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599014844",
"country_code": "US",
"telephone_number": "406-751-5392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 1st Ave",
"address_2": "Metropolitan Hospital Center Department of Surgery",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297404",
"country_code": "US",
"telephone_number": "212-423-6058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUANG",
"first_name": "SHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2022-09-15",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MT",
"license": "76281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.