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

Jasper Shen, MD

Individual provider Otolaryngology Physician · NPI 1366878738

Jasper Shen, MD is an Otolaryngology in Chicago, Illinois. Graduated from University of California, San Diego School of Medicine in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
14
Trained at
University of California, San Diego School of Medicine
Licensed in
CA, IL
In the registry since
2013
Specialties on file
2
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

675 N Saint Clair St Ste 15-200
Chicago, IL 60611-5967
Phone: (312) 695-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N State St, Los Angeles, CA 90089-1001 — (323) 226-7315

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036.142036 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence A127240 (CA)

Record details

NPI number1366878738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 17, 2013
Last updated in NPPESDecember 8, 2021

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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