CAROL LIU SHEN M.D.
NPI 1205367364
Pediatrics - Pediatric Nephrology in New Hyde Park, NY
About Carol Liu Shen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL LIU SHEN M.D. (NPI 1205367364) is an individual pediatric nephrology provider in New Hyde Park, New York, licensed in New York (299784) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol Liu Shen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Carol Shen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Flushing, NY 11355
- Reassigned Medicare billing, New York enrollment
- 327 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Tjh Medical Services PC
- 497 clinicians in this Medicare group
Brooklyn, NY 11204
- Reassigned Medicare billing, New York enrollment
- 137 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carol Shen's NPI number?
The NPI number for Carol Shen is 1205367364. It was assigned to this individual provider in the NPPES registry on March 21, 2017.
Where is Carol Shen located?
Carol Shen practices at 410 Lakeville Rd Ste 202, New Hyde Park, NY 11042. The listed phone number is (718) 470-3490.
What is Carol Shen's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Carol Shen enrolled in Medicare?
Yes. Carol Shen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carol Shen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Shen reassigns Medicare benefits to 6 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Flushing Hospital & Medical Center (Flushing, NY), Jamaica Hospital (Jamaica, NY), Tjh Medical Services, P.C. (Jamaica, NY), Mmc Pediatrics Faculty Practice (Brooklyn, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Shen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carol Shen was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carol Liu Shen, M.D. · NPI 1205367364
Pediatric Nephrology physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since March 21, 2017.
## Identity
- **NPI:** 1205367364 (Entity type: Individual)
- **Enumerated:** March 21, 2017
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** 299784 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 410 LAKEVILLE RD STE 202, New Hyde Park, NY 11042-1103
- **Phone:** (718) 470-3490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Flushing Hospital & Medical Center (NPI 1548217763, Flushing, NY); Jamaica Hospital (NPI 1477505220, Jamaica, NY); Tjh Medical Services, P.C. (NPI 1184670465, Jamaica, NY); Mmc Pediatrics Faculty Practice (NPI 1285648154, Brooklyn, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205367364) · Data from the CMS NPPES public registry.