KYLE SHIH D.O.
NPI 1811336720
Student in an Organized Health Care Education/Training Program in East Patchogue, NY
About Kyle Shih D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE SHIH D.O. (NPI 1811336720) is an individual student in an organized health care education/training program in East Patchogue, New York and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Kyle Shih D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Shih reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST PATCHOGUE, NY 11772
EAST PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
EAST PATCHOGUE, NY 11772
EAST PATCHOGUE, NY 11772
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 Kyle Shih's NPI number?
The NPI number for Kyle Shih is 1811336720. It was assigned to this individual provider in the NPPES registry on June 24, 2013.
Where is Kyle Shih located?
Kyle Shih practices at 100 Hospital Rd Ste 201, East Patchogue, NY 11772. The listed phone number is (631) 447-3010.
What is Kyle Shih's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kyle Shih enrolled in Medicare?
Yes. Kyle 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.
Which organization bills Medicare for Kyle Shih's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Shih reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Kyle Shih'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 Kyle Shih was last updated on December 22, 2021. 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.
# Kyle Shih, D.O. · NPI 1811336720
Student in an Organized Health Care Education/Training Program provider in East Patchogue, New York. Individual provider, active in the CMS NPPES registry since June 24, 2013.
## Identity
- **NPI:** 1811336720 (Entity type: Individual)
- **Enumerated:** June 24, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 100 HOSPITAL RD STE 201, East Patchogue, NY 11772-8814
- **Phone:** (631) 447-3010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811336720) · Data from the CMS NPPES public registry.