LAZARE SHADZEKA
NPI 1760015010
Nurse Practitioner - Psychiatric/Mental Health in Largo, MD

Q: What is Lazare Shadzeka's NPI number?

The NPI number for Lazare Shadzeka is 1760015010. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Q: What is Lazare Shadzeka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lazare Shadzeka was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since February 14, 2020PECOS EnrolledAccepts Medicare Assignment

10530 CAMPUS WAY S # 1068, LARGO, MD 20774(240) 305-5298(202) 953-6719 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Feb 14, 2020 (2 updates tracked since 2020).

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About Lazare Shadzeka NPPES

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

LAZARE SHADZEKA (NPI 1760015010) is an individual psychiatric/mental health provider in Largo, Maryland, licensed in District Of Columbia (RN1033678) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760015010

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameLAZARE SHADZEKA

Location Address10530 CAMPUS WAY S # 1068Largo, MD 20774-1309

Mailing Address49b Joyceton TerUpper Marlboro, MD 20774-1341 · (202) 285-2882

Phone(240) 305-5298

Fax(202) 953-6719

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 14, 2020

Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1760015010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in DC · RN1033678✔ Licensed in MD · R207679

10530 CAMPUS WAY S # 1068, Largo, MD 20774

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Lazare Shadzeka 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 ID4789094822

PECOS Enrollment IDI20201102000412, I20230912001995

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 20774 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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 Lazare Shadzeka's NPI number?

The NPI number for Lazare Shadzeka is 1760015010. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Lazare Shadzeka located?

Lazare Shadzeka practices at 10530 Campus Way S # 1068, Largo, MD 20774. The listed phone number is (240) 305-5298.

What is Lazare Shadzeka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lazare Shadzeka enrolled in Medicare?

Yes. Lazare Shadzeka 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.

What insurance does Lazare Shadzeka accept?

Health plans from Providence Health Plan list Lazare Shadzeka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lazare Shadzeka was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.