DR. SHILPA LAMBA M.D.
NPI 1962649442
Urology in Dover, NH

Active since January 20, 2009PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
10 MEMBERS WAY, SUITE 402, DOVER, NH 03820(603) 742-1444(603) 742-1443 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shilpa Lamba M.d. NPPES

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

DR. SHILPA LAMBA M.D. (NPI 1962649442) is an individual urology provider in Dover, New Hampshire, licensed in New Jersey (25MA08524000) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Baylor College Of Medicine (2005).

NPPES Registry Identity

NPI1962649442
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. SHILPA LAMBACredential: M.D.
Location Address10 MEMBERS WAY, SUITE 402Dover, NH 03820-5933
Mailing Address10 Members Way, Suite 402Dover, NH 03820-5933 · (603) 742-1444 · Fax (603) 742-1443
Fax(603) 742-1443
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2005
Enumeration DateJanuary 20, 2009
Last NPPES UpdateApril 12, 2018
NPI 1962649442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NJ · 25MA08524000 Licensed in NH · 15447
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
10 MEMBERS WAY, Dover, NH 03820

Accepted 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

Dr. Shilpa Lamba M.d. 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 ID3476720467
PECOS Enrollment IDI20120113000621
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.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
638 services445 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
481 services362 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
304 services253 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
189 services178 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
170 services141 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
148 services124 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH
2/5 CMS rating
OwnershipProprietary
CMS Certification Number300014
Location11 Whitehall RoadRochester, NH 03867 · Strafford County
Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.06
Promoting Interoperability82
Improvement Activities40

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
94%192 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
1 supplier21 claims21 services$4.68 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
8 suppliers64 claims13,371 services$1.72 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each A5112
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$25.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
10 MEMBERS WAY, SUITE 203
DOVER, NH 03820
Dietitian, Registered
10 MEMBERS WAY, SUITE 400
DOVER, NH 03820
Dietitian, Registered
10 MEMBERS WAY, SUITE 300
DOVER, NH 03820
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10 MEMBERS WAY, SUITE 400
DOVER, NH 03820
Internal Medicine (Rheumatology)
10 MEMBERS WAY, SUITE 403
DOVER, NH 03820
Dietitian, Registered
10 MEMBERS WAY, SUITE 400
DOVER, NH 03820
Family Medicine
10 MEMBERS WAY
DOVER, NH 03820
Plastic Surgery
10 MEMBERS WAY, SUITE 303
DOVER, NH 03820

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 Shilpa Lamba's NPI number?

The NPI number for Shilpa Lamba is 1962649442. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Shilpa Lamba located?

Shilpa Lamba practices at 10 Members Way Suite 402, Dover, NH 03820. The listed phone number is (603) 742-1444.

What is Shilpa Lamba's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shilpa Lamba enrolled in Medicare?

Yes. Shilpa Lamba 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 Shilpa Lamba accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Shilpa Lamba 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.

Is Shilpa Lamba affiliated with any hospitals?

According to CMS data, Shilpa Lamba is affiliated with York Hospital, Frisbie Memorial Hospital, Wentworth-Douglass Hospital, Exeter Hospital Inc and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shilpa Lamba was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.