SHANE CHARLES DICKERSON M.D.
NPI 1740522341
Anesthesiology in Los Angeles, CA

Q: What is Shane Dickerson's NPI number?

The NPI number for Shane Dickerson is 1740522341. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Q: What is Shane Dickerson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Dickerson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 21, 2013PECOS EnrolledAccepts Medicare Assignment

1500 SAN PABLO ST FL 4, LOS ANGELES, CA 90033(323) 442-7400 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 19, 2017 (3 updates tracked since 2017).

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About Shane Charles Dickerson M.d. NPPES

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

SHANE CHARLES DICKERSON M.D. (NPI 1740522341) is an individual anesthesiology provider in Los Angeles, California, licensed in California (A147680) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2013).

NPPES Registry Identity

NPI1740522341

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameSHANE CHARLES DICKERSONCredential: M.D.

Location Address1500 SAN PABLO ST FL 4Los Angeles, CA 90033-5313

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-7400

Phone(323) 442-7400

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2013

Enumeration DateMarch 21, 2013

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1740522341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · A147680

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1500 SAN PABLO ST FL 4, Los Angeles, CA 90033

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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

Shane Charles Dickerson M.d. 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 ID3375810336

PECOS Enrollment IDI20210819002331

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 3

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.

Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance 64488

This procedure involves injecting a local anesthetic into the abdominal wall to manage pain. It's carried out on both sides of the abdomen using imaging guidance for precision. This helps numb the area, providing relief from discomfort.

22 services22 patients

Injection of local anesthetic for abdominal wall pain control on side using imaging guidance 64486

This procedure involves the use of a small needle to deliver pain-relieving medicine into the side of your abdomen. It's guided by real-time imaging to ensure precision. This helps to control pain in the abdominal wall area.

15 services15 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

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.

OMAR DURRA MD

Anesthesiology