DR. LYDA A SHAMBO CRNA
NPI 1467575894
Nurse Anesthetist, Certified Registered in Syracuse, NY

Active since April 09, 2007Accepts Medicare Assignment
736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7111 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2023, Aug 17, 2023, Dec 23, 2016 (3 updates tracked since 2016).

About Dr. Lyda A Shambo Crna NPPES

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

DR. LYDA A SHAMBO CRNA (NPI 1467575894) is an individual nurse anesthetist, certified registered in Syracuse, New York, licensed in New York (525267) and active in the NPI registry since April 2007. She is affiliated with Samaritan Medical Center, maintains 4 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1467575894
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDR. LYDA A SHAMBOCredential: CRNA
Location Address736 IRVING AVESyracuse, NY 13210-1602
Mailing Address420 Central Park W, Apt. 4gNew York, NY 10025-4375 · (917) 455-3722
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 9, 2007
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1467575894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NY · 525267✔ Licensed in VA · 0024167441
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001204398 (VA), 525267 (NY)
736 IRVING AVE, Syracuse, NY 13210

Secondary Practice Locations 4

Location 1475 Irving AveSyracuse, NY 13210-1756 · Phone (315) 475-8401
Location 2725 Irving AveSyracuse, NY 13210-1603 · Phone (315) 470-7994
Location 3420 Central Park W, Apt. 4GNew York, NY 10025-4375 · Phone (917) 455-3722
Location 45801 E Taft RdSyracuse, NY 13212-3291 · Phone (315) 418-4140

Other Identifiers 1

Medicaid4024VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lyda A Shambo Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577657923
PECOS Enrollment IDI20090406000092

Medicare Billing Reassignments

6

Medicare enrollment records show Lyda Shambo reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
750 EAST ADAMS STR, SUITE 4143
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 132 clinicians in this Medicare group
Anesthesiology
110 W 6TH ST
Oswego, NY 13126
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
Anesthesiology
830 WASHINGTON ST
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 84 clinicians in this Medicare group
Emergency Medicine
1160 CHILI AVE
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 203 clinicians in this Medicare group
Anesthesiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 482 clinicians in this Medicare group
Anesthesiology
1305 WALT WHITMAN RD STE 300
Melville, NY 11747
  • Reassigned Medicare billing, New York enrollment
  • 508 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
22 services21 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Anesthesiology
736 IRVING AVE
SYRACUSE, NY 13210
Internal Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
736 IRVING AVE
SYRACUSE, NY 13210
Pharmacist
736 IRVING AVE
SYRACUSE, NY 13210
Emergency Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Anesthesiology
736 IRVING AVE
SYRACUSE, NY 13210

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 Lyda Shambo's NPI number?

The NPI number for Lyda Shambo is 1467575894. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Lyda Shambo located?

Lyda Shambo practices at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 470-7111.

What is Lyda Shambo's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Lyda Shambo enrolled in Medicare?

Yes. Lyda Shambo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lyda Shambo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyda Shambo reassigns Medicare benefits to 6 organizations: Upstate Medical Anesthesiology Group, Inc. (Syracuse, NY), Oswego Hospital (Oswego, NY), Jefferson Anesthesiologist Services PC (Watertown, NY), Delphi Healthcare PLLC (Rochester, NY), Memorial Anesthesiology Group (New York, NY) and 1 more organization, listed in the Medicare section above. Each 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 Lyda Shambo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lyda Shambo affiliated with any hospitals?

According to CMS data, Lyda Shambo is affiliated with Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Lyda Shambo was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.