Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wales R Shao, MD

Individual provider Body Imaging Physician · NPI 1619930732

Dr. Wales R Shao, MD is a Diagnostic Radiology in Flushing, New York. Graduated from Tufts University School of Medicine in 1991, 35 years ago. Practices with Radiology Associates of Main Street PC, a 51-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
35
Trained at
Tufts University School of Medicine
Licensed in
NY
In the registry since
2006
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-1594
Fax: (718) 670-1901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 198977 (NY)
Body Imaging Physician Taxonomy 2085B0100X · Licence 198977 (NY)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 198977 (NY)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 198977 (NY)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence 198977 (NY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 198977 (NY)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 198977 (NY)

Record details

NPI number1619930732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESNovember 3, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Radiology Associates Of Main Street Pc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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