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

Individual provider Internal Medicine Physician · NPI 1396931085

Dr. Xiyun Shao, MD is an Internal Medicine in Flushing, New York. Qualified in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2007
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

13633 37th Ave Ste 6A
Flushing, NY 11354-4110
Phone: (917) 566-8986
Fax: (718) 865-5140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 245201 (NY)

Record details

NPI number1396931085
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 17, 2007
Last updated in NPPESOctober 4, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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