MAI SHIMADA M.D. NPI 1316289523

Emergency Medicine in San Francisco, CA

NPI 1316289523 Individual Female Emergency Medicine PECOS Enrolled MIPS Quality Score 97.8

About MAI SHIMADA

Mai Shimada is a provider established in San Francisco, California and her medical specialization is emergency medicine. The NPI number of Mai Shimada is 1316289523 and was assigned on March 2013. The practitioner's primary taxonomy code is 207P00000X with license number A144057 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

Mai Shimada is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mai Shimada is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

NPI

1316289523

Provider Name MAI SHIMADA M.D.
Provider Location Address845 JACKSON ST SAN FRANCISCO, CA 94133
Provider Mailing Address845 JACKSON ST SAN FRANCISCO, CA 94133
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-26-2013
Last Update Date08-22-2018


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.A144057
License StateCA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

MAI SHIMADA M.D.
845 JACKSON ST
SAN FRANCISCO, CA
ZIP 94133
Phone: (415) 677-2300

Get Directions


Mailing Address

MAI SHIMADA M.D.
845 JACKSON ST
SAN FRANCISCO, CA
ZIP 94133
Phone:



Secondary Locations

4802 10th Ave
Brooklyn, NY 11219
(718) 283-6029

Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 99
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 76
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 95
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 97.8
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: 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.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427045681DR. SAMUEL C HUI PHARM.D.
Individual
Pharmacist845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 677-2432
1891777967 JACK M. BERTMAN M.D.
Individual
Emergency Medicine845 JACKSON ST
SAN FRANCISCO, CA 94133
(775) 790-0463
1861478463DR. VARAVOOT RAY LERTVARANURAK M.D.
Individual
Radiology (Diagnostic Radiology)845 JACKSON ST RADIOLOGY
SAN FRANCISCO, CA 94133
(415) 677-2320
1184637530 IRWIN CHOW MD
Individual
Anesthesiology845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 982-2400
1871607291 ROGER S ENG MD
Individual
Radiology (Diagnostic Radiology)845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 677-2320
1386717254 RODERICK SNOW MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)845 JACKSON ST
SAN FRANCISCO, CA 94133
(510) 964-0458
1417097312 MICHAEL SHAFER MD
Individual
Emergency Medicine845 JACKSON ST
SAN FRANCISCO, CA 94133
(330) 493-4443
1326188228 MICHAEL O'CONNOR MD
Individual
Emergency Medicine845 JACKSON ST
SAN FRANCISCO, CA 94133
(330) 493-4443
1235279134 MICHAEL F BOGNER MD
Individual
Emergency Medicine845 JACKSON ST
SAN FRANCISCO, CA 94133
(330) 493-4443
1699817973 BECKY SCHMITZ
Individual
Emergency Medicine845 JACKSON ST
SAN FRANCISCO, CA 94133
(330) 493-4443
1366584658DR. JOSEPH WILLIAM WOO MD
Individual
Emergency Medicine845 JACKSON ST
SAN FRANCISCO, CA 94133
(330) 493-4443
1366567463DELTA RADIOLOGY MEDICAL GROUP, INC.
Organization
Specialist845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 677-2325
1457535205HILL PATHOLOGY MEDICAL GROUP
Organization
Pathology (Anatomic Pathology & Clinical Pathology)845 JACKSON ST
SAN FRANCISCO, CA 94133
(510) 964-0458
1073654232GOLDEN GATE RADIOLOGY MEDICAL GROUP, INC.
Organization
Radiology (Diagnostic Radiology)845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 677-2320
1992898837CHINESE HOSPITAL ASSOCIATION
Organization
General Acute Care Hospital845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 982-2400
1750784567MS. JIAQI YANG R.D.
Individual
Dietitian, Registered845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 677-2370
1689065609SFCH PATHOLOGY
Organization
Pathology (Anatomic Pathology & Clinical Pathology)845 JACKSON ST
SAN FRANCISCO, CA 94133
(617) 448-8925
1619130739DR. GHUFRAN MAHMOOD SYED M.D.
Individual
Emergency Medicine845 JACKSON ST CHINESE HOSPITAL
SAN FRANCISCO, CA 94133
(415) 982-2400
1235675463DR. WEY LING PHUAH PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)845 JACKSON ST
SAN FRANCISCO, CA 94133
(415) 677-2434
1487188868CONTRA COSTA PATHOLOGY ASSOCIATES
Organization
Pathology (Anatomic Pathology & Clinical Pathology)845 JACKSON ST
SAN FRANCISCO, CA 94133
(510) 964-0458

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.