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

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: October 18, 2026.

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

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lazare Shadzeka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beatus Healthcare Services LLC
0.5 mi
Mental Health (Including Community Mental Health Center)
49B JOYCETON TER
Upper Marlboro, MD 20774
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1144944141 (240) 305-5298
Innovative Healthcare Training, Inc.
20 mi
Mental Health (Including Community Mental Health Center)
2 CRAIN HWY S STE 2B
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1689376287 (443) 410-3570
Thrive Counseling LLC
162 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, District of Columbia enrollment
  • 143 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Mental Health Specialty Group PA
230 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 18 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Lazare Shadzeka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lazare Shadzeka reassigns Medicare benefits to 4 organizations: Beatus Healthcare Services LLC (Upper Marlboro, MD), Innovative Healthcare Training, Inc. (Glen Burnie, MD), Thrive Counseling LLC (Lynchburg, VA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lazare Shadzeka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.