SHAWN SHIH (MD) – Dermatology Physician, NPI 1750840807

SHAWN SHIH (MD) is a healthcare provider. based in Medford, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 322757 (NY). The NPI Number for SHAWN SHIH (MD) is 1750840807

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN SHIH (MD)
NPI
1750840807
Phone
(510) 648-9432
Address
55 STATION LNDG APT 220
Enumeration Date
18 March 2019
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
UNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Secondary Phone
2016238000
Graduation Year
2019 (7 years ago)
PAC ID
5991121550
Group Practice PAC ID
8224399530
Professional Enrollment ID
I20250908003397
Address ID
NJ070702086RU75XXXWAYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

745 DERMATOLOGY in MA

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Provider Addresses for SHAWN SHIH (MD)

  • 55 STATION LNDG APT 220

    MEDFORD, MA 021555008

    Phone: (510) 648-9432

    Type: Mailing

  • Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    BOSTON, MA 021183549

    Phone: (617) 638-7420

    Type: Location

  • 214 Sullivan St

    New York, NY 100121354

    Phone: (212) 385-3700

    Type: Location

  • 75 ORIENT WAY STE 204

    RUTHERFORD, NJ 070702086

    Phone: (201) 623-8000

    Fax: (201) 578-5160

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 80 Open Payments records for all available years, with a total value of $3,344.

Total Amount is formed as General ($3,344) + Research ($0) + Ownership ($0) = $3,344.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($2,352).

Total Amount

$3,344

General + Research + Ownership

Payments

80

Total payment records

General Amount

$3,344

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

Top Companies

Largest payers in this snapshot

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: 2025-09-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240507000202IDermatologyNYTBD
I20250908003397IDermatologyNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02155)

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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: 8224399530View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyFL
Physician AssistantNY
Physician AssistantNJ
D E R M A T O L O G YNJ

Reviews

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Frequently asked questions

Does SHAWN SHIH (MD) have a public NPI I can cite?
Public records show SHAWN SHIH (MD) under NPI 1750840807.
Should I treat SHAWN SHIH (MD) as an active provider?
Patients and plans typically see SHAWN SHIH (MD) as active in the national extract.
What services align with SHAWN SHIH (MD)'s listing?
SHAWN SHIH (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHAWN SHIH (MD)?
SHAWN SHIH (MD) is associated with Medford, Massachusetts in the same public data insurers reference.
Can I export SHAWN SHIH (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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