CHRISTOPHER SHACKLEFORD DO
NPI 1831765684
Internal Medicine - Nephrology in Philadelphia, PA

Q: What is Christopher Shackleford's NPI number?

The NPI number for Christopher Shackleford is 1831765684. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Q: What is Christopher Shackleford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since June 02, 2021PECOS Enrolled

3509 N BROAD ST STE 226, PHILADELPHIA, PA 19140(215) 707-9837 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Jun 2, 2021 (2 updates tracked since 2021).

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About Christopher Shackleford Do NPPES

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

CHRISTOPHER SHACKLEFORD DO (NPI 1831765684) is an individual nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT023189) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831765684

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameCHRISTOPHER SHACKLEFORDCredential: DO

Location Address3509 N BROAD ST STE 226Philadelphia, PA 19140-4105

Mailing Address3401 N Broad StPhiladelphia, PA 19140-5103

Phone(215) 707-9837

Sole ProprietorYes

Enumeration DateJune 2, 2021

Last NPPES UpdateJune 24, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1831765684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · OT023189

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5151015252 (MI)

3509 N BROAD ST STE 226, Philadelphia, PA 19140

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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 (PECOS)

Christopher Shackleford Do 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 19140 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORDAN YOUNG DO

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