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KATHLEEN SHANLEY MD
NPI 1336643618
Pediatrics in Schenectady, NY

Active since March 21, 2018PECOS Enrolled
3732 CARMAN RD, SCHENECTADY, NY 12303(518) 356-4132 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2026, Jul 1, 2021, Mar 21, 2018 (3 updates tracked since 2018).

About Kathleen Shanley Md NPPES

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

KATHLEEN SHANLEY MD (NPI 1336643618) is an individual pediatrics provider in Schenectady, New York, licensed in New York (311492) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336643618
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHLEEN SHANLEYCredential: MD
Location Address3732 CARMAN RDSchenectady, NY 12303-5422
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2482 · (518) 782-3700
Phone(518) 356-4132
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1336643618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 311492
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3732 CARMAN RD, Schenectady, NY 12303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Shanley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Shanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Physicians, PLLC
10 mi
Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 clinicians in this Medicare group
NPI 1922048370 (518) 782-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12303 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 8

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

DR. MICHAEL PAUL SONNEKALB M.D.
Pediatrics
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132
COURTNEY MARIE OGDEN
Physician Assistant
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132
DR. JAMES DAVID SAPERSTONE M.D.
Pediatrics
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132
MS. SUE PETERSEN MCKINNEY PA
Physician Assistant
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132
MS. LISA F PETRACCIONE RPA-C
Physician Assistant
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132
DR. KAYLA ROSE BRACEY MD
Pediatrics
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132
DR. BRADLEY ALAN FORD M.D.
Pediatrics
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132
DR. DARIN MICHAEL PRICE D.O.
Pediatrics
3732 CARMAN RD
SCHENECTADY, NY 12303
Schenectady County (518) 356-4132

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 Kathleen Shanley's NPI number?

The NPI number for Kathleen Shanley is 1336643618. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Kathleen Shanley located?

Kathleen Shanley practices at 3732 Carman Rd, Schenectady, NY 12303. The listed phone number is (518) 356-4132.

What is Kathleen Shanley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Shanley enrolled in Medicare?

Yes. Kathleen Shanley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Shanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Shanley reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). The 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 Kathleen Shanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Shanley was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.