Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEEPAK KUMAR SHAN MD
NPI 1356921704
Surgery - Vascular Surgery in Erie, PA

Q: What is Deepak Shan's NPI number?

The NPI number for Deepak Shan is 1356921704. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Q: What is Deepak Shan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Deepak Shan was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since April 10, 2021PECOS Enrolled

2315 MYRTLE ST STE 120, ERIE, PA 16502(814) 456-9197(814) 455-2765 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, May 26, 2021, Apr 10, 2021 (3 updates tracked since 2021).

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About Deepak Kumar Shan Md NPPES

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

DEEPAK KUMAR SHAN MD (NPI 1356921704) is an individual vascular surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD496655) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1356921704

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDEEPAK KUMAR SHANCredential: MD

Location Address2315 MYRTLE ST STE 120Erie, PA 16502-4602

Mailing Address2314 Sassafras St, 2nd FloorErie, PA 16502-2721 · (412) 325-5808 · Fax (814) 452-7005

Phone(814) 456-9197

Fax(814) 455-2765

Sole ProprietorNo

Enumeration DateApril 10, 2021

Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1356921704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in PA · MD496655

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2315 MYRTLE ST STE 120, Erie, PA 16502

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Secondary Practice Location 1

Location 1320 E North AvePittsburgh, PA 15212-4772 · Phone (412) 359-3836

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deepak Kumar Shan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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 5

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

ERIC R WROTNEY PA-C

Physician Assistant