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DR. SHANAN LOE M.D.
NPI 1437125093
Obstetrics & Gynecology in Jacksonville, FL

Active since February 24, 2006PECOS Enrolled
81.9/100
CMS Quality Rating
4203 BELFORT ROAD, SUITE 204, JACKSONVILLE, FL 32216(904) 296-5688(904) 296-5699 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shanan Loe M.d. NPPES

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

DR. SHANAN LOE M.D. (NPI 1437125093) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME93888) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437125093
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SHANAN LOECredential: M.D.
Location Address4203 BELFORT ROAD, SUITE 204Jacksonville, FL 32216-1463
Mailing Address4203 Belfort Road, Suite 204Jacksonville, FL 32216-1463 · (904) 296-5688 · Fax (904) 296-5699
Phone(904) 296-5688
Fax(904) 296-5699
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMay 21, 2014
✔ NPI 1437125093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME93888
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4203 BELFORT ROAD, Jacksonville, FL 32216
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Other Identifiers 4

Medicaid2732653-00FL
Medicaid788979252AGA
Medicare PIN29331ZFL
Medicare UPINI45405FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. Shanan Loe M.d. 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 32216 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 3

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

SOUTHSIDE MEDICAL ASSOICATES LLC
Internal Medicine
4203 BELFORT ROAD
JAKSONVILLE, FL 32216
Duval County (703) 556-6620
ABDALLAH I KAFROUNI M.D.
Hospitalist
4203 BELFORT ROAD, SUITE 215
JACKSONVILLE, FL 32216
Duval County (904) 354-8200
DR. RICHARD DONALD WETMORE M.D.
Family Medicine
4203 BELFORT ROAD, SUITE 315
JACKSONVILLE, FL 32216
Duval County (904) 564-4369

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 Shanan Loe's NPI number?

The NPI number for Shanan Loe is 1437125093. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Shanan Loe located?

Shanan Loe practices at 4203 Belfort Road Suite 204, Jacksonville, FL 32216. The listed phone number is (904) 296-5688.

What is Shanan Loe's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shanan Loe enrolled in Medicare?

Yes. Shanan Loe is registered in the Medicare PECOS enrollment system.

What insurance does Shanan Loe accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Shanan Loe 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 Shanan Loe was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.