JOSEPH CHARLES SHANAHAN MD
NPI 1043394901
Internal Medicine - Rheumatology in Durham, NC

Q: What is Joseph Shanahan's NPI number?

The NPI number for Joseph Shanahan is 1043394901. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Joseph Shanahan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Shanahan was last updated on November 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2222 E NC HIGHWAY 54 STE 200, DURHAM, NC 27713(919) 405-2040(919) 405-2266 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2024, Dec 7, 2022, Nov 1, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Joseph Charles Shanahan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH CHARLES SHANAHAN MD (NPI 1043394901) is an individual rheumatology provider in Durham, North Carolina, licensed in North Carolina (98-01767) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and is a graduate of Rutgers New Jersey Medical School (1997).

NPPES Registry Identity

NPI1043394901

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameJOSEPH CHARLES SHANAHANCredential: MD

Location Address2222 E NC HIGHWAY 54 STE 200Durham, NC 27713-5271

Mailing Address2222 E Nc Highway 54 Ste 200Durham, NC 27713-5271 · (919) 405-2040 · Fax (919) 405-2266

Phone(919) 405-2040

Fax(919) 405-2266

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1997

Enumeration DateOctober 25, 2006

Last NPPES UpdateNovember 7, 20244 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1043394901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in NC · 98-01767

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

2222 E NC HIGHWAY 54 STE 200, Durham, NC 27713

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Charles Shanahan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668373150

PECOS Enrollment IDI20091106000425

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

155,250 services27 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

55,200 services57 patients

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

14,700 services12 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

8,760 services89 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

3,800 services12 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

861 services135 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

780 services452 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

552 services114 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

253 services171 patients

Infusion into a vein for hydration, each additional hour 96361

This procedure involves delivering fluids directly into your vein to keep your body hydrated. It is typically done when oral hydration is insufficient. Each additional hour means more fluid is infused to ensure adequate hydration.

222 services31 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

128 services30 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

112 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

100 services83 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

38 services38 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

31 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnston Health

Acute Care Hospitals · Smithfield, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340090

Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County

Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH MCCRACKEN PA-C

Physician Assistant

2222 E NC HIGHWAY 54 STE 200
DURHAM, NC 27713

Durham County (919) 405-2040

KELSEY DENISE MORGAN

Physician Assistant

2222 E NC HIGHWAY 54 STE 200
DURHAM, NC 27713

Durham County (919) 405-2040

REBECCA DIANE UNGER PA-C

Physician Assistant

2222 E NC HIGHWAY 54 STE 200
DURHAM, NC 27713

Durham County (919) 405-2040

DURHAMNC CARE INC

Nurse Practitioner (Primary Care)

2222 E NC HIGHWAY 54 STE 200
DURHAM, NC 27713

Durham County (919) 405-2040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Shanahan's NPI number?

The NPI number for Joseph Shanahan is 1043394901. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Joseph Shanahan located?

Joseph Shanahan practices at 2222 E Nc Highway 54 Ste 200, Durham, NC 27713. The listed phone number is (919) 405-2040.

What is Joseph Shanahan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Joseph Shanahan enrolled in Medicare?

Yes. Joseph Shanahan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Shanahan accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Joseph Shanahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Shanahan affiliated with any hospitals?

According to CMS data, Joseph Shanahan is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Shanahan was last updated on November 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.