Shanshan Bao, MD
NPI 1912135211ActiveIndividual· Radiology, Diagnostic Radiology· Wethersfield, CT
Radiology, Diagnostic Radiology (MD) in Wethersfield, Connecticut, trained at New York Medical College (class of 2009). Enrolled in Medicare as practitioner - diagnostic radiology and practitioner - diagnostic radiology.
Overview
| NPI | 1912135211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 24, 2009 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 56309 | CT |
| Radiology, Diagnostic Radiology | 2085R0202X | A128667 | CA |
| Radiology, Diagnostic Radiology | 2085R0202X | 270749 | MA |
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 Practitioner - Diagnostic Radiology (CT); Practitioner - Diagnostic Radiology (MA) |
|---|
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Jefferson Radiology PCNeedham, MA · 114 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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