OLEG B. SHPAK, MD, PA
NPI 1316068083
Clinic/Center in Lanham, MD
About Oleg B. Shpak, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLEG B. SHPAK, MD, PA (NPI 1316068083) is a healthcare organization registered as a clinic/center in Lanham, Maryland and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Oleg B. Shpak, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oleg B. Shpak, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Oleg B. Shpak, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D0938558
Oleg B Shpak MD PA · Lanham, MDFrequently 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 Oleg B. Shpak, MD, PA's NPI number?
The NPI number for Oleg B. Shpak, MD, PA is 1316068083. It was assigned to this organization in the NPPES registry on April 2, 2007.
Where is Oleg B. Shpak, MD, PA located?
Oleg B. Shpak, MD, PA is located at 9470 Annapolis Rd Suite 210, Lanham, MD 20706. The listed phone number is (301) 577-5511.
What is Oleg B. Shpak, MD, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Oleg B. Shpak, MD, PA enrolled in Medicare?
Yes. Oleg B. Shpak, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oleg B. Shpak, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Oleg B. Shpak, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Oleg B. Shpak, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D0938558) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Oleg B. Shpak, MD, PA was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Oleg B. Shpak, Md, Pa · NPI 1316068083
Clinic/Center organization in Lanham, Maryland. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1316068083 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Oleg Shpak, OWNER
## Practice location
- **Address:** 9470 ANNAPOLIS RD, SUITE 210, Lanham, MD 20706-3025
- **Phone:** (301) 577-5511 · **Fax:** (301) 577-1177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2017
- **Other identifiers:** Medicare PIN 508298 (MD); Medicare UPIN B95143 (MD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316068083) · Data from the CMS NPPES public registry.