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DR. SHANE JOSEPH MD
NPI 1568876837
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Annapolis, MD

Active since June 16, 2014PECOS Enrolled
695 KINKAID RD, ANNAPOLIS, MD 21402(410) 293-1152 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2023, Dec 30, 2021 (2 updates tracked since 2021).

About Dr. Shane Joseph Md NPPES

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

DR. SHANE JOSEPH MD (NPI 1568876837) is an individual preventive medicine/occupational environmental medicine provider in Annapolis, Maryland, licensed in California (A138026) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568876837
Entity TypeIndividualMale
Primary Taxonomy2083P0500X
Provider Legal NameDR. SHANE JOSEPHCredential: MD
Location Address695 KINKAID RDAnnapolis, MD 21402-1006
Mailing Address695 Kinkaid RdAnnapolis, MD 21402-1006 · (410) 293-1152
Phone(410) 293-1152
Sole ProprietorNo
Enumeration DateJune 16, 2014
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1568876837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in CA · A138026
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedGeneral PracticeTaxonomy 208D00000X · License A138026 (CA)
695 KINKAID RD, Annapolis, MD 21402
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Farenholt Avenue, BLDG 50Agana Heights, GU 96910 · Phone (671) 344-9340
Location 2Naval Medical Ctr, 34800 Bob Wilson DriveSan Diego, CA 92134-5000 · Phone (619) 794-7615

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. Shane Joseph 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 21402 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

KIARA VOGEL PSY.D.
Psychologist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-2273
DR. DAVID A BYMAN O.D.
Optometrist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-3617
AMY A PALMER RDH
Dental Hygienist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-3902
DR. ELIZABETH C MCMUNN O.D.
Optometrist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-4378
DR. CHRISTOPHER MICHAEL HAMLIN DMD
Dentist (Prosthodontics)
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (240) 676-7053
BRETT WINDISH IDC
Military Health Care Provider (Independent Duty Corpsman)
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (760) 382-8592
HANNAH GRACE MELCHNER
Physical Therapy Assistant
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-7907
DR. EMILY ALYSSE ESTRADA PH.D.
Psychologist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-1197

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 Shane Joseph's NPI number?

The NPI number for Shane Joseph is 1568876837. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Shane Joseph located?

Shane Joseph practices at 695 Kinkaid Rd, Annapolis, MD 21402. The listed phone number is (410) 293-1152.

What is Shane Joseph's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Shane Joseph enrolled in Medicare?

Yes. Shane Joseph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Joseph was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.