ELAINE SHAN M.D.
NPI 1053767434
Pediatrics in Sacramento, CA

Q: What is Elaine Shan's NPI number?

The NPI number for Elaine Shan is 1053767434. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Elaine Shan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Shan was last updated on June 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2016PECOS Enrolled

3234 MARYSVILLE BLVD, SACRAMENTO, CA 95815(918) 407-2495 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2020, Jun 17, 2019 (2 updates tracked since 2019).

On this page

About Elaine Shan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELAINE SHAN M.D. (NPI 1053767434) is an individual pediatrics provider in Sacramento, California, licensed in California (A168601) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053767434

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameELAINE SHANCredential: M.D.

Location Address3234 MARYSVILLE BLVDSacramento, CA 95815-1411

Mailing Address1860 Howe Ave Ste 455Sacramento, CA 95825-1086 · (918) 407-2495

Phone(918) 407-2495

Sole ProprietorNo

Enumeration DateMay 4, 2016

Last NPPES UpdateJune 12, 20202 updates tracked since enumeration

NPPES CertifiedJune 12, 2020

✔ NPI 1053767434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A168601✔ Licensed in AZ · 58623✔ Licensed in AZ · R75544

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3234 MARYSVILLE BLVD, Sacramento, CA 95815

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11501 N Campbell Ave Rm 3301Tucson, AZ 85724-0001 · Phone (520) 626-7944 · Fax (520) 626-5652

Location 2155 Calle Portal Ste 700Sierra Vista, AZ 85635 · Phone (520) 459-0203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine Shan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty