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DR. SHELLY XIAOPING SHI MD
NPI 1992721104
Internal Medicine in New York, NY

Active since July 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1038823 · Waiver
185 CANAL ST, 4TH FLOOR, NEW YORK, NY 10013(917) 388-2792(917) 388-2715 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shelly Xiaoping Shi Md NPPES

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

DR. SHELLY XIAOPING SHI MD (NPI 1992721104) is an individual internal medicine provider in New York, New York, licensed in New York (221713) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 28, 2027, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1992721104
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHELLY XIAOPING SHICredential: MD
Location Address185 CANAL ST, 4TH FLOORNew York, NY 10013-4537
Mailing Address185 Canal St, 4th FloorNew York, NY 10013-4537 · (917) 388-2792
Phone(917) 388-2792
Fax(917) 388-2715
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 14, 2006
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1992721104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 221713
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
185 CANAL ST, New York, NY 10013
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Other Identifiers 3

Medicare UPINH53871NY
Medicaid02292928NY
Medicare PINA300050402NY

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

Dr. Shelly Xiaoping Shi 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 ID5890754865
PECOS Enrollment IDI20041005001298
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1038823

Shelly Shi MD · New York, NY
Active · expires Mar 28, 2027
CLIA Number33D1038823
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDr. Shelly Shi
Laboratory Phone(212) 343-7323
Laboratory LocationShelly Shi MD185 Canal Street, 4th Floor, New York, NY 10013
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
173 services62 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services56 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
41 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
31 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
42%3,484 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%1,897 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%1,459 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%1,459 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
54%1,459 patients3/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.71 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$5.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DORENE SOO-HOO D.P.M.
Podiatrist (Foot & Ankle Surgery)
185 CANAL ST, SUITE 206
NEW YORK, NY 10013
New York County (212) 274-9988
UNITED ASIAN MEDICAL PLLC
Internal Medicine (Critical Care Medicine)
185 CANAL ST, SUITE 606
NEW YORK, NY 10013
New York County (212) 226-1177
DR. WAH HEE LEI B.S., PHARMD.
Pharmacist
185 CANAL ST, STORE E
NEW YORK, NY 10013
New York County (212) 925-7698
DR. BINGJING Z ROBERTS M.D.
Ophthalmology
185 CANAL ST, SUITE 306
NEW YORK, NY 10013
New York County (212) 219-7786
DR. HO YIN YIU PT
Physical Therapist
185 CANAL ST, SUITE 302
NEW YORK, NY 10013
New York County (212) 625-2818
CHUAN CHANG MD
Pediatrics (Neurodevelopmental Disabilities)
185 CANAL ST, STE. 501
NEW YORK, NY 10013
New York County (212) 226-8819
FAMILY DENTISTRY OF NEW YORK
Clinic/Center (Dental)
185 CANAL ST, SUITE 503
NEW YORK, NY 10013
New York County (212) 680-0180
ERXCITY CORP
Pharmacy (Community/Retail Pharmacy)
185 CANAL ST
NEW YORK, NY 10013
New York County (212) 625-8339

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 Shelly Shi's NPI number?

The NPI number for Shelly Shi is 1992721104. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Shelly Shi located?

Shelly Shi practices at 185 Canal St 4th Floor, New York, NY 10013. The listed phone number is (917) 388-2792.

What is Shelly Shi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shelly Shi enrolled in Medicare?

Yes. Shelly Shi 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.

Does Shelly Shi hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1038823) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shelly Shi was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.