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LICI SHEN MD
NPI 1689202871
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
276 INTERNATIONAL CIR STE 3500, SAN JOSE, CA 95119(408) 316-7321 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2022, Apr 1, 2020 (2 updates tracked since 2020).

About Lici Shen Md NPPES

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

LICI SHEN MD (NPI 1689202871) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2020).

NPPES Registry Identity

NPI1689202871
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLICI SHENCredential: MD
Location Address276 INTERNATIONAL CIR STE 3500San Jose, CA 95119-1130
Mailing Address276 International Cir Ste 3500San Jose, CA 95119-1130
Phone(408) 316-7321
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1689202871 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.

276 INTERNATIONAL CIR STE 3500, San Jose, CA 95119
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Lici Shen 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 ID3779964754
PECOS Enrollment IDI20240104001004
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.

Other Providers at the Same Location NPPES

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

STEPHANIE CLOUGH LANDGRAF MD
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR STE 3500
SAN JOSE, CA 95119
Santa Clara County (408) 972-6884

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 Lici Shen's NPI number?

The NPI number for Lici Shen is 1689202871. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Lici Shen located?

Lici Shen practices at 276 International Cir Ste 3500, San Jose, CA 95119. The listed phone number is (408) 316-7321.

What is Lici 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 Lici Shen enrolled in Medicare?

Yes. Lici Shen 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.

When was this NPI record last updated?

The NPPES record for Lici Shen was last updated on April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.