MR. SAMUEL Y SHIU (MD) – General Practice Physician, NPI 1710970207

MR. SAMUEL Y SHIU (MD) is a healthcare provider. based in Bellevue, Washington. specializing in General Practice Physician. They hold the professional credentials MD. They hold a License No. MD32279 (WA). The NPI Number for MR. SAMUEL Y SHIU (MD) is 1710970207

Main info

Male
Sole Proprietor
Name
MR. SAMUEL Y SHIU (MD)
NPI
1710970207
Phone
(425) 462-7333
Address
1940 116TH AVE NE
Enumeration Date
30 August 2005
Last Update Date
25 May 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MR. SAMUEL Y SHIU (MD)

  • 1940, 116th Avenue Northeast, Northup, Bellevue, King County, Washington, 98004, United States

    #200

    BELLEVUE, WA 980043074

    Phone: (425) 462-7333

    Fax: (425) 462-5641

    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)

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: 2006-02-28

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
I20060228000029IFamily PracticeWATBD

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 98004)

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Reviews

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Frequently asked questions

Does MR. SAMUEL Y SHIU (MD) have a public NPI I can cite?
Public records show MR. SAMUEL Y SHIU (MD) under NPI 1710970207.
Quick check: is MR. SAMUEL Y SHIU (MD) active?
Public NPPES data shows MR. SAMUEL Y SHIU (MD) with an active NPI status right now.
What type of care does MR. SAMUEL Y SHIU (MD) provide?
MR. SAMUEL Y SHIU (MD)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MR. SAMUEL Y SHIU (MD) in Bellevue, Washington?
For routing, start with Bellevue, Washington for MR. SAMUEL Y SHIU (MD), then verify phone and hours locally.
Who maintains MR. SAMUEL Y SHIU (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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