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ASHOK SHIANI M.D.
NPI 1629462700
Internal Medicine - Gastroenterology in Wilmington, NC

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2421 SILVER STREAM LN, WILMINGTON, NC 28401(910) 341-3343(910) 341-3320 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2024, Jun 3, 2024, Feb 23, 2021 (3 updates tracked since 2021).

About Ashok Shiani M.d. NPPES

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

ASHOK SHIANI M.D. (NPI 1629462700) is an individual gastroenterology provider in Wilmington, North Carolina, licensed in North Carolina (2024-00854) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of University Of South Florida College Of Medicine (2015).

NPPES Registry Identity

NPI1629462700
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameASHOK SHIANICredential: M.D.
Location Address2421 SILVER STREAM LNWilmington, NC 28401-7684
Mailing Address1202 Medical Center DrWilmington, NC 28401-7307 · (910) 341-1540 · Fax (910) 431-4048
Phone(910) 341-3343
Fax(910) 341-3320
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1629462700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NC · 2024-00854✔ Licensed in FL · ME137160
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2421 SILVER STREAM LN, Wilmington, NC 28401
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Other Identifiers 2

Medicaid1629462700NC
Medicaid110375800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare, Wellpoint.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

Ashok Shiani 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 ID143639724
PECOS Enrollment IDI20240923004088
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 10

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 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.
108 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services40 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
57 services55 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
39 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
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.
28 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

LINDA R SHARENOW RD ,CDE
Nutritionist (Nutrition, Education)
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 341-3300
CRYSTAL DAWN HILL PA-C
Physician Assistant (Surgical)
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 341-3300
SEAN MCCALMON D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 763-6332
MARY PINTO
Nurse Practitioner
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 341-3300
CATHERINE CLARK DUNCAN DPT
Physical Therapist
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 341-3300
KELLY LEE GLISSON NP
Nurse Practitioner
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 341-3300
VICTORIA TUCKER N.P.
Nurse Practitioner (Pediatrics)
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 763-2072
MELISSA DANIELLE FLYNN RD/LDN
Dietitian, Registered
2421 SILVER STREAM LN
WILMINGTON, NC 28401
New Hanover County (910) 362-8605

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 Ashok Shiani's NPI number?

The NPI number for Ashok Shiani is 1629462700. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Ashok Shiani located?

Ashok Shiani practices at 2421 Silver Stream Ln, Wilmington, NC 28401. The listed phone number is (910) 341-3343.

What is Ashok Shiani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ashok Shiani enrolled in Medicare?

Yes. Ashok Shiani 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 Ashok Shiani accept?

Health plans from UnitedHealthcare and Wellpoint list Ashok Shiani 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 Ashok Shiani affiliated with any hospitals?

According to CMS data, Ashok Shiani is affiliated with Onslow Memorial Hospital, Columbus Regional Healthcare System and Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ashok Shiani was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.