SHICHANG HAO MD
NPI 1104554856
Pediatrics in Clearlake, CA

NPI Status: Active since August 10, 2022

Contact Information

15230 LAKESHORE DR
CLEARLAKE, CA
ZIP 95422
Phone: (707) 995-4530
Fax: (707) 995-4560

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  • Individual
  • Male
  • Years of Experience 7
  • Pediatrics
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About SHICHANG HAO

This page provides the complete NPI Profile along with additional information for Shichang Hao, a pediatrician established in Clearlake, California with a medical specialization in Pediatrics and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1104554856 assigned on August 2022. The practitioner's primary taxonomy code is 208000000X with license number 201500 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1104554856
Provider Name
SHICHANG HAO MD
Gender
Male
Entity Type
Individual
Location Address
15230 LAKESHORE DR CLEARLAKE, CA 95422
Location Phone
(707) 995-4530
Location Fax
(707) 995-4560
Mailing Address
15230 LAKESHORE DR CLEARLAKE, CA 95422
Mailing Phone
(707) 995-4530
Mailing Fax
(707) 995-4560
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
08-10-2022
Last Update Date
06-20-2025
Code Navigator

A pediatrician like Shichang Hao is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
201500
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Shichang Hao is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Shichang Hao is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719495068

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250806002360

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95422 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.32
  • Minimum New Patient Price $58.87
  • Maximum New Patient Price $176.6
  • Average New Patient Copayment $22.58
  • Minimum New Patient Copayment $14.71
  • Maximum New Patient Copayment $44.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.36
  • Minimum Established Patient Price $19.28
  • Maximum Established Patient Price $144.6
  • Average Established Patient Copayment $25.84
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.15

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104554856, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 0 + 5 + 8 + 8 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104554856.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Obstetrics & Gynecology)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Family Medicine
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Family Medicine
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Internal Medicine
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Surgery
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Community Health Worker
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Nurse Practitioner (Family)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Psychiatry & Neurology (Neurology)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Physician Assistant
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Licensed Vocational Nurse
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Health Educator
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Licensed Vocational Nurse
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Health Educator
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pain Medicine (Interventional Pain Medicine)
15230 LAKESHORE DR, LIVE WELL SUITE 3
CLEARLAKE, CA 95422
Nurse Practitioner (Family)
15230 LAKESHORE DR
CLEARLAKE, CA 95422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104554856, enumerated as an "individual" on August 10, 2022.

The provider is located at 15230 LAKESHORE DR CLEARLAKE, CA 95422 and the phone number is (707) 995-4530.

Pediatrics with taxonomy code 208000000X.