SHUAIKE MA M.D.
NPI 1255575924
Internal Medicine - Nephrology in Easton, PA

Active since April 26, 2009PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
250 S 21ST ST, EASTON, PA 18042(610) 250-4515 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shuaike Ma M.d. NPPES

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

SHUAIKE MA M.D. (NPI 1255575924) is an individual nephrology provider in Easton, Pennsylvania, licensed in Connecticut (53100) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1255575924
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSHUAIKE MACredential: M.D.
Location Address250 S 21ST STEaston, PA 18042-3851
Mailing Address2661 Wingate Way Nw, Apt. 4Canton, OH 44708-8942 · (330) 479-1464
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 26, 2009
Last NPPES UpdateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1255575924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CT · 53100
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT194229 (PA)
250 S 21ST ST, Easton, PA 18042

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

Shuaike Ma M.d. 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.

PECOS PAC ID5597915827
PECOS Enrollment IDI20140818001657
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shuaike Ma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 clinicians in this Medicare group
Psychiatric Unit
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
379 services181 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services64 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
109 services107 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18042 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.15
Promoting Interoperability100
Improvement Activities40
Cost58.82

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.

Internal Medicine
250 S 21ST ST
EASTON, PA 18042
Psychiatric Unit
250 S 21ST ST
EASTON, PA 18042
Nurse Anesthetist, Certified Registered
250 S 21ST ST
EASTON, PA 18042
Anesthesiology
250 S 21ST ST
EASTON, PA 18042
Emergency Medicine
250 S 21ST ST
EASTON, PA 18042
General Acute Care Hospital
250 S 21ST ST
EASTON, PA 18042
Surgery
250 S 21ST ST
EASTON, PA 18042
Radiology (Diagnostic Radiology)
250 S 21ST ST, DEPARTMENT OF RADIOLOGY
EASTON, PA 18042

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 Shuaike Ma's NPI number?

The NPI number for Shuaike Ma is 1255575924. It was assigned to this individual provider in the NPPES registry on April 26, 2009.

Where is Shuaike Ma located?

Shuaike Ma practices at 250 S 21st St, Easton, PA 18042. The listed phone number is (610) 250-4515.

What is Shuaike Ma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shuaike Ma enrolled in Medicare?

Yes. Shuaike Ma 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 organizations bill Medicare for Shuaike Ma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shuaike Ma reassigns Medicare benefits to 2 organizations: Windham Community Memorial Hospital, Inc. (Willimantic, CT) and William W Backus Hospital (Norwich, CT). 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 Shuaike Ma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shuaike Ma accept?

Health plans from Anthem Blue Cross and Blue Shield list Shuaike Ma 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.

When was this NPI record last updated?

The NPPES record for Shuaike Ma was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.