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DR. XIYUN SHAO M.D.
NPI 1396931085
Internal Medicine in Flushing, NY

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment
13633 37TH AVE, SUITE 6A, FLUSHING, NY 11354(917) 566-8986(718) 865-5140 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Xiyun Shao M.d. NPPES

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

DR. XIYUN SHAO M.D. (NPI 1396931085) is an individual internal medicine provider in Flushing, New York, licensed in New York (245201) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1396931085
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. XIYUN SHAOCredential: M.D.
Location Address13633 37TH AVE, SUITE 6AFlushing, NY 11354-4110
Mailing Address15 Jean PlSyosset, NY 11791-5914
Phone(917) 566-8986
Fax(718) 865-5140
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 17, 2007
Last NPPES UpdateOctober 4, 2016
✔ NPI 1396931085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 245201
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13633 37TH AVE, Flushing, NY 11354
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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

Dr. Xiyun Shao 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 ID6608918941
PECOS Enrollment IDI20100125000241
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services17 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
51 services16 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers17 claims24 services$4.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$13.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. XINMEI LI M.D.
Pediatrics
13633 37TH AVE, 6B
FLUSHING, NY 11354
Queens County (718) 886-7838
YUCHUN CHEN MD
Internal Medicine (Geriatric Medicine)
13633 37TH AVE, SUITE 6A
FLUSHING, NY 11354
Queens County (917) 825-9391
DR. YIQUN HUI MD, PHD
Internal Medicine (Allergy & Immunology)
13633 37TH AVE, UNIT 3D1
FLUSHING, NY 11354
Queens County (718) 888-9268

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 Xiyun Shao's NPI number?

The NPI number for Xiyun Shao is 1396931085. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is Xiyun Shao located?

Xiyun Shao practices at 13633 37th Ave Suite 6A, Flushing, NY 11354. The listed phone number is (917) 566-8986.

What is Xiyun Shao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Xiyun Shao enrolled in Medicare?

Yes. Xiyun 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.

When was this NPI record last updated?

The NPPES record for Xiyun Shao was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.