CONNIE SHAO
NPI 1356848865
Colon & Rectal Surgery in Grand Rapids, MI
About Connie Shao NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE SHAO (NPI 1356848865) is an individual colon & rectal surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301516933) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2018).
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
Connie Shao 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 Connie Shao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 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.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
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 Connie Shao's NPI number?
The NPI number for Connie Shao is 1356848865. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Connie Shao located?
Connie Shao practices at 4100 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7100.
What is Connie Shao's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Connie Shao enrolled in Medicare?
Yes. Connie Shao 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 Connie Shao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Shao reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). 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 Connie Shao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Shao accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Connie Shao 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 Connie Shao was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.
# Connie Shao · NPI 1356848865
Colon & Rectal Surgery physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1356848865 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** 4301516933 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4100 LAKE DR SE, Grand Rapids, MI 49546-8292
- **Phone:** (616) 267-7100
## 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:** Spectrum Health Primary Care Partners (NPI 1528374683, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Chicago, Pritzker School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356848865) · Data from the CMS NPPES public registry.