LISA KATHERINE THEOBALD SHANAHAN D.O.
NPI 1871943837
Obstetrics & Gynecology in New York, NY
About Lisa Katherine Theobald Shanahan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA KATHERINE THEOBALD SHANAHAN D.O. (NPI 1871943837) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (303994-01) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of University Of Kentucky College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
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
Lisa Katherine Theobald Shanahan D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Shanahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Lisa Shanahan's NPI number?
The NPI number for Lisa Shanahan is 1871943837. It was assigned to this individual provider in the NPPES registry on June 20, 2016.
Where is Lisa Shanahan located?
Lisa Shanahan practices at 530 1st Ave Ste 10Q, New York, NY 10016. The listed phone number is (631) 376-4060.
What is Lisa Shanahan's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lisa Shanahan enrolled in Medicare?
Yes. Lisa Shanahan 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 organization bills Medicare for Lisa Shanahan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Shanahan reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Lisa Shanahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lisa Shanahan affiliated with any hospitals?
According to CMS data, Lisa Shanahan is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Lisa Shanahan was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lisa Katherine Theobald Shanahan, D.O. · NPI 1871943837
Obstetrics & Gynecology physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 20, 2016.
## Identity
- **NPI:** 1871943837 (Entity type: Individual)
- **Enumerated:** June 20, 2016
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 303994-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 1ST AVE STE 10Q, New York, NY 10016-6402
- **Phone:** (631) 376-4060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** March 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1871943837) · Data from the CMS NPPES public registry.