MAX SHEN MD
NPI 1306415781
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 21, 2021PECOS Enrolled
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2024, Jun 30, 2021, Jun 21, 2021 (3 updates tracked since 2021).

About Max Shen Md NPPES

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

MAX SHEN MD (NPI 1306415781) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (1016077) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2021).

NPPES Registry Identity

NPI1306415781
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAX SHENCredential: MD
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateOctober 11, 20243 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1306415781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MA · 1016077
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 FRANCIS ST, Boston, MA 02115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Max Shen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406250307
PECOS Enrollment IDI20260608001443
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.

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 (Pulmonary Disease)
75 FRANCIS ST, BRIGHAM & WOMEN'S HOSPITAL, PULMONARY & CRITICAL CARE
BOSTON, MA 02115
Anesthesiology
75 FRANCIS ST, DEPARTMENT OF ANESTHESIOLOGY CWN L2
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST
BOSTON, MA 02115
Psychiatry & Neurology (Psychiatry)
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Pulmonary Disease)
75 FRANCIS ST, PULMONARY DIVISION BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Radiology (Vascular & Interventional Radiology)
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306415781, enumerated as an "individual" on June 21, 2021.

The provider is located at 75 FRANCIS ST BOSTON, MA 02115 and the phone number is (617) 732-5500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.