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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK JEFFREY SHANKMAN MD
NPI 1629028709
Internal Medicine in Waltham, MA

Active since May 11, 2006PECOS Enrolled

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mark Jeffrey Shankman Md NPPES

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

DR. MARK JEFFREY SHANKMAN MD (NPI 1629028709) is an individual internal medicine provider in Waltham, Massachusetts, licensed in Massachusetts (49116) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629028709
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK JEFFREY SHANKMANCredential: MD
Location Address9 HOPE AVEWaltham, MA 02453-2741
Mailing Address190 Forest AveNewton, MA 02465-3012 · (617) 332-3584
Phone(617) 243-5590
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1629028709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 49116
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.
9 HOPE AVE, Waltham, MA 02453
Open in Google Maps ↗

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. Mark Jeffrey Shankman 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 02453 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

ALYSSA BARZACH M.S., CCC-SLP
Speech-Language Pathologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2209
JULIE FRENCH LICSW
Social Worker (Clinical)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (617) 355-6000
MARY WOODLAND LICSW
Social Worker (Clinical)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-3352
DR. AMANDA ROSE MICHEL PT, DPT
Physical Therapist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2100
SHARON SHAHAM MS
Speech-Language Pathologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2200
TERRELL A CLARK PHD
Psychologist (Clinical Child & Adolescent)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2200
TAMAR M GOMES AU.D.
Audiologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2304
NICOLE M. SEMON PT, DPT, PCS
Physical Therapist
9 HOPE AVE, DEPARTMENT OF PHYSICAL AND OCCUPATIONAL THERAPY
WALTHAM, MA 02453
Middlesex County (781) 216-3670

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 Mark Shankman's NPI number?

The NPI number for Mark Shankman is 1629028709. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Mark Shankman located?

Mark Shankman practices at 9 Hope Ave, Waltham, MA 02453. The listed phone number is (617) 243-5590.

What is Mark Shankman's specialty?

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

Is Mark Shankman enrolled in Medicare?

Yes. Mark Shankman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Shankman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.