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MR. DEREK TSAI SHANG CRNP
NPI 1851936801
Nurse Practitioner - Pediatrics in Queens, NY

Active since November 14, 2019PECOS Enrolled
269 01 76TH AVE, QUEENS, NY 11040(718) 470-7640 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Derek Tsai Shang Crnp NPPES

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

MR. DEREK TSAI SHANG CRNP (NPI 1851936801) is an individual pediatrics provider in Queens, New York, licensed in Pennsylvania (SP021159) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851936801
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. DEREK TSAI SHANGCredential: CRNP
Location Address269 01 76TH AVEQueens, NY 11040
Mailing Address269 01 76th AveQueens, NY 11040
Phone(718) 470-7640
Sole ProprietorNo
Enumeration DateNovember 14, 2019
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1851936801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in PA · SP021159
269 01 76TH AVE, Queens, NY 11040
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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)

Mr. Derek Tsai Shang Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Derek Shang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
0.3 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Childrens Health Care Associates, Inc
96 mi
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

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 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Derek Shang's NPI number?

The NPI number for Derek Shang is 1851936801. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Derek Shang located?

Derek Shang practices at 269 01 76th Ave, Queens, NY 11040. The listed phone number is (718) 470-7640.

What is Derek Shang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Derek Shang enrolled in Medicare?

Yes. Derek Shang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Shang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Shang reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and Childrens Health Care Associates, Inc (Philadelphia, PA). Each 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 Derek 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 Derek Shang was last updated on March 25, 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.