SHANNON ROESCH DPM PC
NPI 1992876239
Podiatrist - Foot & Ankle Surgery in Floral Park, NY
About Shannon Roesch Dpm Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ROESCH DPM PC (NPI 1992876239) is an individual foot & ankle surgery provider in Floral Park, New York, licensed in New York (N005991) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Roesch Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Roesch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Floral Park, NY 11001
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLORAL PARK, NY 11001
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 Shannon Roesch's NPI number?
The NPI number for Shannon Roesch is 1992876239. It was assigned to this individual provider in the NPPES registry on November 10, 2006.
Where is Shannon Roesch located?
Shannon Roesch practices at 242 Jericho Tpke, Floral Park, NY 11001. The listed phone number is (516) 488-6290.
What is Shannon Roesch's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Shannon Roesch enrolled in Medicare?
Yes. Shannon Roesch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Roesch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Roesch reassigns Medicare benefits to Shannon Roesch, DPM PC (Floral Park, NY). 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 Shannon Roesch'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 Shannon Roesch was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.