Kenneth Shan MD Inc
NPI 1770430464ActiveOrganization· Internal Medicine, Gastroenterology· Arcadia, CA
Internal Medicine, Gastroenterology in Arcadia, California, registered in NPPES in March 2026. The authorized official on file is Kenneth Leo Shan, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770430464 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2026 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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