TIANYU SHANG (MD) – Surgery Physician, NPI 1194220822
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,619 GENERAL SURGERY in NY
Provider Addresses for TIANYU SHANG (MD)
5323 HARRY HINES BLVD
DALLAS, TX 753907201
Phone: (214) 633-5555
Type: Mailing
4020 N CENTRAL PARK AVE APT 3W
CHICAGO, IL 606182137
Phone: (631) 838-9566
Type: Mailing
101 Nicolls Rd
Stony Brook, NY 117940001
Phone: (631) 444-1791
Type: Location
5323 Harry Hines Blvd
Dallas, TX 753900001
Phone: (214) 633-5555
Type: Location
Guthrie Robert Packer Hospital, 1, Hospital Place, Sayre, Bradford County, Pennsylvania, 18840, United States
ONE GUTHRIE SQUARE
SAYRE, PA 18840
Phone: (570) 887-3585
Type: Location
6201 HARRY HINES BLVD
DALLAS, TX 752355202
Phone: (214) 633-5555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $1,673.
Total Amount is formed as General ($1,673) + Research ($0) + Ownership ($0) = $1,673.
Last reported payment date: 2024-08-24 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,500).
Total Amount
$1,673
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,500 |
| W. L. Gore & Associates, Inc. | $173 |
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: 2024-08-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240814003318 | I | General Surgery | TX | TBD |
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.
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 75390)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | TX | |
| Pulmonary Disease | TX | |
| General Surgery | PA |
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