SHINYA AMANO (M.D.) – Dermatology Physician, NPI 1184006108

SHINYA AMANO (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD23729 (ME). The NPI Number for SHINYA AMANO (M.D.) is 1184006108

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SHINYA AMANO (M.D.)
NPI
1184006108
Phone
(508) 334-5979
Address
281 Lincoln St
Enumeration Date
25 June 2015
Last Update Date
2 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
2072824270
Graduation Year
2015 (11 years ago)
PAC ID
9133410566
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20200707003200
Address ID
ME040059422BI1XXXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for SHINYA AMANO (M.D.)

  • 281 Lincoln St

    Worcester, MA 016052138

    Phone: (508) 334-5979

    Fax: (508) 334-5232

    Type: Location

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-0111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-07-07

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
I20200707003200IDermatologyMETBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity2,8481,621$0
88342Special stained specimen slides to examine tissue, initial procedure262190$0
88341Special stained specimen slides to examine tissue, each additional procedure16959$0
17003Destruction of precancer skin growth, 2-14 growths10716$0
88304Pathology examination of tissue using a microscope, moderately low complexity10799$0
View full utilization report →

Insurance plans in this area (ZIP 01605)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

What is the standard ID for SHINYA AMANO (M.D.) in the U.S.?
In the U.S., SHINYA AMANO (M.D.) is identified by NPI 1184006108.
Should I treat SHINYA AMANO (M.D.) as an active provider?
Patients and plans typically see SHINYA AMANO (M.D.) as active in the national extract.
What type of care does SHINYA AMANO (M.D.) provide?
SHINYA AMANO (M.D.)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SHINYA AMANO (M.D.) in Worcester, Massachusetts?
For routing, start with Worcester, Massachusetts for SHINYA AMANO (M.D.), then verify phone and hours locally.
Why is information missing for SHINYA AMANO (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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