ANGELA SHY (MD) – Child & Adolescent Psychiatry Physician, NPI 1629199690

ANGELA SHY (MD) is a healthcare provider. based in Little rock, Arkansas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD488236 (PA). The NPI Number for ANGELA SHY (MD) is 1629199690

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA SHY (MD)
NPI
1629199690
Phone
(501) 686-8000
Address
4301 W MARKHAM ST # 783
Enumeration Date
3 April 2007
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5019547470
Graduation Year
2002 (24 years ago)
PAC ID
4981704004
Group Practice PAC ID
4789806431
Professional Enrollment ID
I20070702000675
Address ID
AR722054528LI10XXXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

244 PSYCHIATRY in AR

Provider Addresses for ANGELA SHY (MD)

  • 4301 W MARKHAM ST # 783

    LITTLE ROCK, AR 722057101

    Phone: (501) 686-8000

    Fax: (501) 296-1427

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lundbeck LLC ($80).

Total Amount

$228

General + Research + Ownership

Payments

12

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070702000675IPsychiatryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5116$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789806431View full group profile

Reviews

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Frequently asked questions

Can I cross-check ANGELA SHY (MD) using NPI 1629199690?
NPI 1629199690 belongs to ANGELA SHY (MD); compare other details if you need extra assurance.
Would ANGELA SHY (MD) appear as active to a payer?
You can treat ANGELA SHY (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ANGELA SHY (MD)?
ANGELA SHY (MD)'s specialty line reads Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is ANGELA SHY (MD) located near Little Rock?
ANGELA SHY (MD) currently maps to Little Rock, Arkansas in this extract.
Can I trust this NPI listing for ANGELA SHY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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