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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANSHAN BAO MD
NPI 1912135211
Radiology - Diagnostic Radiology in Wethersfield, CT

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
1260 SILAS DEANE HWY STE 100, WETHERSFIELD, CT 06109(860) 289-3375(860) 290-4108 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Mar 17, 2018, Jan 17, 2018 and 1 more (4 updates tracked since 2017).

About Shanshan Bao Md NPPES

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

SHANSHAN BAO MD (NPI 1912135211) is an individual diagnostic radiology provider in Wethersfield, Connecticut, licensed in Connecticut (56309) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2009).

NPPES Registry Identity

NPI1912135211
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSHANSHAN BAOCredential: MD
Location Address1260 SILAS DEANE HWY STE 100Wethersfield, CT 06109-4363
Mailing Address1260 Silas Deane Hwy Ste 104Wethersfield, CT 06109-4363 · (860) 289-3375 · Fax (860) 290-4108
Phone(860) 289-3375
Fax(860) 290-4108
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2009
Enumeration DateJune 24, 2009
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1912135211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CT · 56309✔ Licensed in CA · A128667✔ Licensed in MA · 270749
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1260 SILAS DEANE HWY STE 100, Wethersfield, CT 06109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Shanshan Bao 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 ID3476847989
PECOS Enrollment IDI20170817004053
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

7

Medicare enrollment records show Shanshan Bao reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Connecticut Imaging Partners, LLC
Same address
Diagnostic Radiology
1260 SILAS DEANE HWY, SUITE 100
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut and Massachusetts enrollments
  • 167 clinicians in this Medicare group
NPI 1740315761 (860) 563-7844
Jefferson Radiology, PC
4.8 mi
Diagnostic Radiology
80 SEYMOUR ST
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut and Massachusetts enrollments
  • 161 clinicians in this Medicare group
NPI 1396795951 (860) 289-3375
Farmington Imaging Center, LLC
8.1 mi
Diagnostic Radiology
399 FARMINGTON AVE STE 130
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut and Massachusetts enrollments
  • 172 clinicians in this Medicare group
NPI 1275987802 (860) 289-3375
Tic, LLC
18 mi
Diagnostic Radiology
6 FIELDSTONE CMNS, SUITE E
Tolland, CT 06084
  • Reassigned Medicare billing, Connecticut and Massachusetts enrollments
  • 169 clinicians in this Medicare group
NPI 1457702813 (860) 896-4848
Chelmsford Mri, P.C.
30 mi
Diagnostic Radiology
3640 MAIN ST, SUITE 101
Springfield, MA 01107
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Chelmsford Mri PC
  • Also billed through NPI 1386662112 (Massachusetts)
  • 99 clinicians in this Medicare group
NPI 1821435553 (413) 781-9000
Compass Medical PC
91 mi
General Practice
362 N BEDFORD ST
East Bridgewater, MA 02333
  • Reassigned Medicare billing, Massachusetts enrollment
  • 111 clinicians in this Medicare group
NPI 1962437962 (508) 350-2350
Steward Medical Group, Inc
93 mi
Internal Medicine
500 BOYLSTON ST
Boston, MA 02116
  • Reassigned Medicare billing, Massachusetts enrollment
  • 138 clinicians in this Medicare group
NPI 1255600300 (615) 467-4158

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 06109 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

LINDSAY M GRIFFIN MD
Radiology (Diagnostic Radiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375
SEAN RICHARDSON M.D.
Radiology (Diagnostic Radiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375
ADAM SAMUEL FEDERMAN MD
Radiology (Diagnostic Radiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375
DOUGLAS J. MOOTE M.D.
Radiology (Diagnostic Radiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375
SEAN CUSANO MD
Radiology (Diagnostic Radiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375
DR. MARTIN D OLLENSCHLEGER M.D.
Radiology (Neuroradiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375
DR. JARED MICHAEL MARTILLOTTI M.D.
Radiology (Diagnostic Radiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375
DR. CAROL CAVALCANTE DE VASCONCELOS LIMA MD
Radiology (Diagnostic Radiology)
1260 SILAS DEANE HWY STE 100
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 289-3375

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 Shanshan Bao's NPI number?

The NPI number for Shanshan Bao is 1912135211. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Shanshan Bao located?

Shanshan Bao practices at 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109. The listed phone number is (860) 289-3375.

What is Shanshan Bao's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shanshan Bao enrolled in Medicare?

Yes. Shanshan Bao 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 organizations bill Medicare for Shanshan Bao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanshan Bao reassigns Medicare benefits to 7 organizations: Connecticut Imaging Partners, LLC (Wethersfield, CT), Jefferson Radiology, PC (Hartford, CT), Farmington Imaging Center, LLC (Farmington, CT), Tic, LLC (Tolland, CT), Chelmsford Mri, P.C. (Springfield, MA) and 2 more organizations, listed in the Medicare section above. 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 Shanshan Bao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanshan Bao accept?

Health plans from Anthem Blue Cross and Blue Shield list Shanshan Bao 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.

When was this NPI record last updated?

The NPPES record for Shanshan Bao was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.