SHUTAO WANG MD
NPI 1235766759
Radiology - Diagnostic Radiology in Beverly, MA
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, is affiliated with Northeast Hospital Corporation, and is a graduate of Icahn School Of Medicine At Mount Sinai (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shutao Wang Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Shutao Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peabody, MA 01960
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1538194980 (Massachusetts)
- 1,841 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Hospital Corporation
Acute Care Hospitals · Beverly, MAPhysician 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.
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.
BEVERLY, MA 01915
BEVERLY, MA 01915
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shutao Wang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shutao Wang reassigns Medicare benefits to Lahey Clinic, Inc (Peabody, MA). The 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 Shutao Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shutao Wang accept?
Health plans from Anthem Blue Cross and Blue Shield list Shutao Wang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shutao Wang affiliated with any hospitals?
According to CMS data, Shutao Wang is affiliated with Northeast Hospital Corporation.
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 3 months 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.
# Shutao Wang, MD · NPI 1235766759
Diagnostic Radiology physician in Beverly, Massachusetts. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1235766759 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 1016330 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 85 HERRICK ST, Beverly, MA 01915-1777
- **Phone:** (978) 922-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lahey Clinic, Inc (NPI 1063447316, Peabody, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2020
## Record status
- **NPPES last updated:** August 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235766759) · Data from the CMS NPPES public registry.