Individual provider Active NPI

Yih-Fu Shiau, MD

  • Gastroenterology Physician
  • Havertown, PA
National Provider Identifier
1962429803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD-034364-L Issued in PA
Practice address
21 N Eagle Rd
Havertown, PA 19083-3434
Phone
(610) 446-3350
Fax
(610) 446-3706
NPI assigned
Jul 16, 2006
Sex
Male
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD-034364-L PA Primary
Gastroenterology Physician 207RG0100X 0101023699 VA

Addresses

Primary practice location

21 N Eagle Rd
Havertown, PA 19083-3434

Mailing address

21 N Eagle Rd
Havertown, PA 19083-3434
Phone (610) 446-3350

Other identifiers 3

IdentifierTypeStateIssuer
0101023699OtherVAVA MD LICENSE #
MD-034364-LOtherPAPA MD LICENSE #
00663371/02MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-034364-LPAMDGastroenterology Physician
0101023699VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yih-Fu Shiau, MD Gastroenterology PastSince Dec 4, 1978 Accepting new patients

Organizations & group practices 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962429803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833434",
            "telephone_number": "610-446-3350",
            "fax_number": "610-446-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833434",
            "telephone_number": "610-446-3350",
            "fax_number": "610-446-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIAU",
        "first_name": "YIH-FU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD-034364-L",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101023699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MD LICENSE #",
            "identifier": "0101023699",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MD LICENSE #",
            "identifier": "MD-034364-L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00663371/02",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.