DR. CHARLES WEBSTER SHEPARD M.D.
NPI 1376713107
Pediatrics - Pediatric Cardiology in Minneapolis, MN

Q: What is Charles Shepard's NPI number?

The NPI number for Charles Shepard is 1376713107. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Q: What is Charles Shepard's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Charles Shepard was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 07, 2008PECOS Enrolled

2530 CHICAGO AVENUE SOUTH SUITE 500, MINNEAPOLIS, MN 55404(612) 813-8800 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2020, Dec 2, 2015 (2 updates tracked since 2015).

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About Dr. Charles Webster Shepard M.d. NPPES

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

DR. CHARLES WEBSTER SHEPARD M.D. (NPI 1376713107) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Minnesota (50718) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1376713107

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. CHARLES WEBSTER SHEPARDCredential: M.D.

Location Address2530 CHICAGO AVENUE SOUTH SUITE 500Minneapolis, MN 55404

Mailing Address2530 Chicago Ave Ste 500Minneapolis, MN 55404-4291 · (612) 813-8800

Phone(612) 813-8800

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011

Enumeration DateMarch 7, 2008

Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration

NPPES CertifiedNovember 12, 2020

✔ NPI 1376713107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MN · 50718

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

2530 CHICAGO AVENUE SOUTH SUITE 500, Minneapolis, MN 55404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Webster Shepard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810175809

PECOS Enrollment IDI20110621000776

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.

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 Charles Shepard's NPI number?

The NPI number for Charles Shepard is 1376713107. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Where is Charles Shepard located?

Charles Shepard practices at 2530 Chicago Avenue South Suite 500, Minneapolis, MN 55404. The listed phone number is (612) 813-8800.

What is Charles Shepard's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Charles Shepard enrolled in Medicare?

Yes. Charles Shepard is registered in the Medicare PECOS enrollment system.

What insurance does Charles Shepard accept?

Health plans from Medica list Charles Shepard 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.

When was this NPI record last updated?

The NPPES record for Charles Shepard was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.