MOIRA A SHANAHAN (M.D.) – Obstetrics & Gynecology Physician, NPI 1356321327
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OBSTETRICS/GYNECOLOGY in ME
Provider Addresses for MOIRA A SHANAHAN (M.D.)
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-5400
Type: Location
246 Pleasant St Bldg West
Concord, NH 033012548
Phone: (603) 228-1111
Fax: (603) 227-7558
Type: Location
15 Old Rollinsford Rd Ste 102
Dover, NH 038202869
Phone: (603) 749-4963
Type: Location
Dartmouth-Hitchcock Medical Center, 1, Medical Center Drive, Lebanon, Grafton County, New Hampshire, 03756, United States
DH - OB/GYN
LEBANON, NH 037561000
Phone: (603) 653-9300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031114000056 | I | Obstetrics/Gynecology | ME | TBD |
| I20130806000131 | I | Obstetrics/Gynecology | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NH | |
| Family Practice, Geriatric Medicine | PA | |
| Emergency Medicine | NH | |
| Emergency Medicine | NH | |
| Hospitalist, Family Practice | NH | |
| - | NH | |
| Nurse Practitioner | NH | |
| A N E S T H E S I O L O G Y | NH | |
| Emergency Medicine | NH | |
| P S Y C H I A T R Y | NH |
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