SHANTA SHEPHERD (M.D,) – Urology Physician, NPI 1174986756

SHANTA SHEPHERD (M.D,) is a healthcare provider. based in Boston, Massachusetts. specializing in UROLOGY. They hold the professional credentials M.D,. They hold a License No. 68747 (CT). The NPI Number for SHANTA SHEPHERD (M.D,) is 1174986756

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHANTA SHEPHERD (M.D,)
NPI
1174986756
Phone
Not provided
Address
88 E NEWTON ST
Enumeration Date
1 April 2016
Last Update Date
12 May 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
8602665550
Graduation Year
2016 (10 years ago)
PAC ID
1254626518
Group Practice PAC ID
6709787930
Professional Enrollment ID
I20210809003532
Address ID
CT060335016GL730XXAVEX301
Telehealth
Yes

Contacts

Secure Messaging
sshepherd485930@direct.stfranciscare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

365 UROLOGY in MA

Provider Addresses for SHANTA SHEPHERD (M.D,)

  • 88 E NEWTON ST

    C515

    BOSTON, MA 021182308

    Phone:

    Type: Mailing

  • 19 WOODLAND ST STE 23

    HARTFORD, CT 061052368

    Phone: (860) 522-2251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 158 Open Payments records for all available years, with a total value of $4,866.

Total Amount is formed as General ($4,866) + Research ($0) + Ownership ($0) = $4,866.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Axonics, Inc. ($1,001).

Total Amount

$4,866

General + Research + Ownership

Payments

158

Total payment records

General Amount

$4,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210809003532IUrologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test248151$0
82570Creatinine level to test for kidney function or muscle injury248151$0
99214Established patient office or other outpatient visit, 30-39 minutes172119$0
99213Established patient office or other outpatient visit, 20-29 minutes7768$0
51798Ultrasound measurement of bladder capacity after voiding7656$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709787930View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerCT
Gastroenterology, Internal MedicineCT
Pulmonary Disease, Internal MedicineCT
-CT
Nurse PractitionerCT
Geriatric Medicine, Internal MedicineCT
Nurse PractitionerCT
Nurse PractitionerCT
E N D O C R I N O L O G YCT

Reviews

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Frequently asked questions

Does SHANTA SHEPHERD (M.D,) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHANTA SHEPHERD (M.D,) uses 1174986756.
Does CMS list SHANTA SHEPHERD (M.D,) as active?
Yes — SHANTA SHEPHERD (M.D,) is active in the NPI listing used on this page.
What taxonomy line describes SHANTA SHEPHERD (M.D,)?
For research purposes, treat SHANTA SHEPHERD (M.D,) as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SHANTA SHEPHERD (M.D,) on a map?
Expect Boston, Massachusetts as a primary anchor for SHANTA SHEPHERD (M.D,) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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