JASPER SHEN M.D.
NPI 1366878738
Otolaryngology in Chicago, IL

Active since September 17, 2013PECOS EnrolledAccepts Medicare Assignment
675 N SAINT CLAIR ST STE 15-200, CHICAGO, IL 60611(312) 695-0805 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Mar 17, 2018, Aug 2, 2017 (3 updates tracked since 2017).

About Jasper Shen M.d. NPPES

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

JASPER SHEN M.D. (NPI 1366878738) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (036.142036) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, San Diego School Of Medicine (2012).

NPPES Registry Identity

NPI1366878738
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJASPER SHENCredential: M.D.
Location Address675 N SAINT CLAIR ST STE 15-200Chicago, IL 60611-5967
Mailing Address10724 Wilshire Blvd Apt 1208Los Angeles, CA 90024-4473 · (626) 246-4198
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2012
Enumeration DateSeptember 17, 2013
Last NPPES UpdateDecember 8, 20213 updates tracked since enumeration
NPI 1366878738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in IL · 036.142036 Licensed in CA · A127240
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
675 N SAINT CLAIR ST STE 15-200, Chicago, IL 60611

Secondary Practice Location 1

Location 11200 N State St, CT-A7DLos Angeles, CA 90089-1001 · Phone (323) 226-7315

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jasper Shen 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 ID3072872571
PECOS Enrollment IDI20190305000842
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611
Speech-Language Pathologist
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611
Speech-Language Pathologist
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611
Speech-Language Pathologist
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611
Speech-Language Pathologist
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611
Otolaryngology
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611
Audiologist
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611
Audiologist
675 N SAINT CLAIR ST STE 15-200
CHICAGO, IL 60611

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 Jasper Shen's NPI number?

The NPI number for Jasper Shen is 1366878738. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Jasper Shen located?

Jasper Shen practices at 675 N Saint Clair St Ste 15-200, Chicago, IL 60611. The listed phone number is (312) 695-0805.

What is Jasper Shen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jasper Shen enrolled in Medicare?

Yes. Jasper Shen 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.

When was this NPI record last updated?

The NPPES record for Jasper Shen was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.