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CAROLINE SHANG MD
NPI 1538629175
Family Medicine in San Diego, CA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
6911 CONVOY CT, SAN DIEGO, CA 92111(833) 574-2273 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2022, Nov 18, 2021, Mar 20, 2019 (3 updates tracked since 2019).

About Caroline Shang Md NPPES

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

CAROLINE SHANG MD (NPI 1538629175) is an individual family medicine provider in San Diego, California, licensed in California (A178574) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Rutgers, Robert Woood Johnson Medical School (2019).

NPPES Registry Identity

NPI1538629175
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROLINE SHANGCredential: MD
Location Address6911 CONVOY CTSan Diego, CA 92111-1014
Mailing Address6911 Convoy CtSan Diego, CA 92111-1014
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1538629175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A178574
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6911 CONVOY CT, San Diego, CA 92111
Open in Google Maps ↗

Secondary Practice Location 1

Location 14733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021 · Phone (908) 392-6941

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

Caroline Shang Md 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 ID4587073002
PECOS Enrollment IDI20210512002039
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 Caroline Shang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.6 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

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 92111 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 7

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

KRISTIN DAWN HALLAUER RN
Registered Nurse
6911 CONVOY CT
SAN DIEGO, CA 92111
San Diego County (866) 940-2218
KATHIA G ALBANEZ OD
Optometrist
6911 CONVOY CT
SAN DIEGO, CA 92111
San Diego County (833) 574-2273
SHEELA PATEL VYAS MD
Internal Medicine
6911 CONVOY CT
SAN DIEGO, CA 92111
San Diego County (833) 574-2273
DR. KATHERINE HELEN MEKOLIK M.D.
Family Medicine
6911 CONVOY CT
SAN DIEGO, CA 92111
San Diego County (619) 644-6500
DR. ERIKA SHIHO YASUDA MD
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT
SAN DIEGO, CA 92111
San Diego County (619) 952-1809
DAVID VINH-PHUC PHAM NGUYEN MD
Internal Medicine
6911 CONVOY CT
SAN DIEGO, CA 92111
San Diego County (858) 899-3608
LAUREN THERESE MANN DO
Pediatrics
6911 CONVOY CT
SAN DIEGO, CA 92111
San Diego County (833) 574-2273

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 Caroline Shang's NPI number?

The NPI number for Caroline Shang is 1538629175. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Caroline Shang located?

Caroline Shang practices at 6911 Convoy Ct, San Diego, CA 92111. The listed phone number is (833) 574-2273.

What is Caroline Shang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Caroline Shang enrolled in Medicare?

Yes. Caroline Shang 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 Caroline Shang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Shang reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Caroline Shang'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 Caroline Shang was last updated on August 22, 2022. 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.