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THOMAS SHEN
NPI 1669095170
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since May 19, 2020PECOS Enrolled
4610 X ST, SACRAMENTO, CA 95817(916) 734-4110 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Thomas Shen NPPES

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

THOMAS SHEN (NPI 1669095170) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669095170
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHOMAS SHEN
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200
Phone(916) 734-4110
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1669095170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4610 X ST, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Shen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759840705
PECOS Enrollment IDI20260828004056
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 Thomas Shen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America - California
1.7 mi
Emergency Medicine
2825 CAPITOL AVENUE
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1306145404 (916) 733-3003

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

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.

LESLIE OLIVARES VALENCIA
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (747) 253-6052
HECTOR LEONARDO SANCHEZ PEREZ MPH
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (760) 899-0277
TIFFANY POLAR
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (562) 230-9720
ALICIA CUEVAS
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (831) 262-7838
ALFREDO LOPEZ AGUIRRE
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (209) 481-1068
MR. MATTHEW JOSEPH LOPEZ MED STUDENT
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 762-7911
BINUI JARVIO
Specialist
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (650) 867-8073
ALEXA MORALES ARANA
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (209) 614-0178

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 Thomas Shen's NPI number?

The NPI number for Thomas Shen is 1669095170. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Thomas Shen located?

Thomas Shen practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (916) 734-4110.

What is Thomas Shen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thomas Shen enrolled in Medicare?

Yes. Thomas Shen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Shen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Shen reassigns Medicare benefits to Cep America - California (Sacramento, 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 Thomas Shen'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 Thomas Shen was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.