LISA KATHERINE THEOBALD SHANAHAN D.O.
NPI 1871943837
Obstetrics & Gynecology in New York, NY

Q: 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.

Q: What is Lisa Shanahan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: 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.

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

530 1ST AVE STE 10Q, NEW YORK, NY 10016(631) 376-4060 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2021, Jul 14, 2020, Jun 20, 2016 (3 updates tracked since 2016).

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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

NPI1871943837

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLISA KATHERINE THEOBALD SHANAHANCredential: D.O.

Location Address530 1ST AVE STE 10QNew York, NY 10016-6402

Mailing Address530 1st Ave Ste 10qNew York, NY 10016-6402

Phone(631) 376-4060

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2016

Enumeration DateJune 20, 2016

Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1871943837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 303994-01

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

530 1ST AVE STE 10Q, New York, NY 10016

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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

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.

PECOS PAC ID7113262189

PECOS Enrollment IDI20200819001932

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.

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, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician 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.

New Patient

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

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.

MS. KHADIJAH N STANFIELD CNM

Midwife