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JEFFREY ALAN SHIH M.D.
NPI 1487832242
Internal Medicine - Cardiovascular Disease in Worcester, MA

Active since February 04, 2008PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVENUE NORTH, WORCESTER, MA 01655(508) 856-3452 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2020, Jul 17, 2017 (2 updates tracked since 2017).

About Jeffrey Alan Shih M.d. NPPES

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

JEFFREY ALAN SHIH M.D. (NPI 1487832242) is an individual cardiovascular disease provider in Worcester, Massachusetts, licensed in Massachusetts (240448) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Emory University School Of Medicine (2003).

NPPES Registry Identity

NPI1487832242
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJEFFREY ALAN SHIHCredential: M.D.
Location Address55 LAKE AVENUE NORTHWorcester, MA 01655
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 856-3452
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2003
Enumeration DateFebruary 4, 2008
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1487832242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 240448
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X · License 240448 (MA)
55 LAKE AVENUE NORTH, Worcester, MA 01655
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Other Identifiers 1

Medicaid110082932AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Jeffrey Alan Shih 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 ID3375699333
PECOS Enrollment IDI20090917000100
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 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
726 services655 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
180 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
145 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services58 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
77 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services64 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$14.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$64.11 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 20

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

MAI-PHUONG THI TRAN PHARMD
Pharmacist
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 421-1900
NEIL J. KLUGER MD
Internal Medicine (Hematology & Oncology)
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-6276
SUMA CHANDRA KANNABIRAN MD
Radiology (Diagnostic Radiology)
55 LAKE AVENUE NORTH, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-1000
DISHA DALELA MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000
DR. LEORA BETH BALSAM M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 LAKE AVENUE NORTH, DEPARTMENT OF SURGERY
WORCESTER, MA 01655
Worcester County (508) 334-2577
DR. KATHERINE HENDREN ROSE MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 856-3590
MARLENE DENISE JACOBO MD
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000
KIMBERLY MAI ZAYHOWSKI MS
Genetic Counselor, MS
55 LAKE AVENUE NORTH, DEPARTMENT OF GENETICS; BENEDICT BUILDING 3RD FLOOR
WORCESTER, MA 01655
Worcester County (774) 442-6660

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 Jeffrey Shih's NPI number?

The NPI number for Jeffrey Shih is 1487832242. It was assigned to this individual provider in the NPPES registry on February 4, 2008.

Where is Jeffrey Shih located?

Jeffrey Shih practices at 55 Lake Avenue North, Worcester, MA 01655. The listed phone number is (508) 856-3452.

What is Jeffrey Shih's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jeffrey Shih enrolled in Medicare?

Yes. Jeffrey Shih 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.

What insurance does Jeffrey Shih accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeffrey Shih 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.

Is Jeffrey Shih affiliated with any hospitals?

According to CMS data, Jeffrey Shih is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Shih was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.