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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHUTAO WANG MD
NPI 1235766759
Radiology - Diagnostic Radiology in Beverly, MA

Active since March 25, 2020PECOS Enrolled
85 HERRICK ST, BEVERLY, MA 01915(978) 922-3000 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Mar 25, 2020 (2 updates tracked since 2020).

About Shutao Wang Md NPPES

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

SHUTAO WANG MD (NPI 1235766759) is an individual diagnostic radiology provider in Beverly, Massachusetts, licensed in Massachusetts (1016330) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235766759
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSHUTAO WANGCredential: MD
Location Address85 HERRICK STBeverly, MA 01915-1777
Mailing Address85 Herrick StBeverly, MA 01915-1777 · (978) 922-3000
Phone(978) 922-3000
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1235766759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 1016330
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
85 HERRICK ST, Beverly, MA 01915
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shutao Wang Md 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 01915 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT JOHN TAVARES M.D.
Internal Medicine
85 HERRICK ST, LAHEY AT BEVERLY HOSPITAL
BEVERLY, MA 01915
Essex County (978) 922-3000
RONALD NEWMAN MD
Internal Medicine
85 HERRICK ST, LAHEY AT BEVERLY HOSPITAL
BEVERLY, MA 01915
Essex County (978) 922-3000
TYANNA BARNES CRNA
Nurse Anesthetist, Certified Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501
MS. LINDA G HAYNES PNP
Nurse Practitioner (Pediatrics)
85 HERRICK ST, THE LYNCH BUILDING
BEVERLY, MA 01915
Essex County (978) 921-2899
DR. ARIADNE STEPHANIE SCOTT IRIARTE MD
Internal Medicine
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 922-3000
PAULA K MARTINEZ MD
Hospitalist
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-3700
NATALIE REYNOLDS RULLI
Dietitian, Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501
KIMBERLY BIANCO RNFA
Registered Nurse (Registered Nurse First Assistant)
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 922-3000

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 Shutao Wang's NPI number?

The NPI number for Shutao Wang is 1235766759. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Shutao Wang located?

Shutao Wang practices at 85 Herrick St, Beverly, MA 01915. The listed phone number is (978) 922-3000.

What is Shutao Wang's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shutao Wang enrolled in Medicare?

Yes. Shutao Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shutao Wang was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.