LAKSHMI SHANKAR MD
NPI 1487758975
Internal Medicine in East Stroudsburg, PA

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
53.63/100
CMS Quality Rating
206 E BROWN ST, POCONO HOSPITALISTS, EAST STROUDSBURG, PA 18301(570) 421-4000(570) 420-2459 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakshmi Shankar Md NPPES

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

LAKSHMI SHANKAR MD (NPI 1487758975) is an individual internal medicine provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD420104) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1487758975
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAKSHMI SHANKARCredential: MD
Location Address206 E BROWN ST, POCONO HOSPITALISTSEast Stroudsburg, PA 18301-3006
Mailing Address206 E Brown St, Pocono Healthcare Mgmt. Professional CenterEast Stroudsburg, PA 18301-3006 · (570) 420-4951 · Fax (570) 476-3754
Fax(570) 420-2459
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 12, 2006
Last NPPES UpdateApril 11, 2013
NPI 1487758975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD420104
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

206 E BROWN ST, East Stroudsburg, PA 18301

Other Identifiers 3

Medicaid001922413PA
Medicare UPINH71016
Medicare PIN063014PZPPA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lakshmi Shankar Md 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 ID9335238179
PECOS Enrollment IDI20071203000168
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
451 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
130 services123 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services79 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

53.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality38.23
Improvement Activities40
Cost32.93

Reported Quality Measures

Advance Care Plan
100%376 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%209 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers41 claims41 services$17.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers48 claims48 services$91.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Psychiatric/Mental Health)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Nurse Anesthetist, Certified Registered
206 E BROWN ST
E STROUDSBURG, PA 18301
Pharmacist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Medical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Obstetrics & Gynecology
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Speech-Language Pathologist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Surgical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301

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 Lakshmi Shankar's NPI number?

The NPI number for Lakshmi Shankar is 1487758975. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Lakshmi Shankar located?

Lakshmi Shankar practices at 206 E Brown St Pocono Hospitalists, East Stroudsburg, PA 18301. The listed phone number is (570) 421-4000.

What is Lakshmi Shankar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lakshmi Shankar enrolled in Medicare?

Yes. Lakshmi Shankar 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.

Is Lakshmi Shankar affiliated with any hospitals?

According to CMS data, Lakshmi Shankar is affiliated with Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Lakshmi Shankar was last updated on April 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.