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KERRY CATHERINE SHUM M.D.
NPI 1396971776
Pediatrics - Pediatric Critical Care Medicine in Greenville, NC

Active since May 30, 2009PECOS Enrolled
98.33/100
CMS Quality Rating
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-5871(252) 744-5759 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2026, Mar 6, 2024, Dec 14, 2020 and 2 more (5 updates tracked since 2017).

About Kerry Catherine Shum M.d. NPPES

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

KERRY CATHERINE SHUM M.D. (NPI 1396971776) is an individual pediatric critical care medicine provider in Greenville, North Carolina, licensed in North Carolina (2017-01856) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396971776
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKERRY CATHERINE SHUMCredential: M.D.
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 744-5871
Fax(252) 744-5759
Sole ProprietorNo
Enumeration DateMay 30, 2009
Last NPPES UpdateJuly 10, 20265 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1396971776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NC · 2017-01856
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
2100 STANTONSBURG RD, Greenville, NC 27834
Open in Google Maps ↗

Other Identifiers 3

OtherNCZ189ANC · Medicare
Medicaid1396971776NC
Other19RDMNC · Bcbs Of Nc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Catherine Shum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kerry Shum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Carolina University
0.2 mi
General Practice
600 MOYE BLVD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1689815284 (252) 744-4618

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
JASMINE SHA'DEY HOLMES MD
Emergency Medicine (Sports Medicine)
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

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 Kerry Shum's NPI number?

The NPI number for Kerry Shum is 1396971776. It was assigned to this individual provider in the NPPES registry on May 30, 2009.

Where is Kerry Shum located?

Kerry Shum practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 744-5871.

What is Kerry Shum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kerry Shum enrolled in Medicare?

Yes. Kerry Shum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerry Shum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Shum reassigns Medicare benefits to East Carolina University (Greenville, NC). 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 Kerry Shum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kerry Shum was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.