DR. SYDNEY SHAKESPEARE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1154904399

DR. SYDNEY SHAKESPEARE (DPM) is a healthcare provider. based in North royalton, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00381000 (NJ). The NPI Number for DR. SYDNEY SHAKESPEARE (DPM) is 1154904399

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. SYDNEY SHAKESPEARE (DPM)
NPI
1154904399
Phone
(641) 758-1508
Address
7567 BASSWOOD CT APT A
Enumeration Date
5 May 2021
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9087048778
Graduation Year
2021 (5 years ago)
PAC ID
2062819121
Group Practice PAC ID
6901117084
Professional Enrollment ID
I20240718001066
Address ID
NJ088071746BR720XXRTXX200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for DR. SYDNEY SHAKESPEARE (DPM)

  • 7567 BASSWOOD CT APT A

    NORTH ROYALTON, OH 441336880

    Phone: (641) 758-1508

    Type: Mailing

  • 1900 23RD ST

    CUYAHOGA FALLS, OH 442231404

    Phone: (330) 971-7000

    Type: Location

  • 720 US HIGHWAY 202/206

    BRIDGEWATER, NJ 088071746

    Phone: (908) 704-8778

    Fax: (908) 704-8172

    Type: Mailing

  • 2315 ROUTE 34

    MANASQUAN, NJ 087361444

    Phone: (732) 974-0404

    Fax: (732) 449-4271

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $2,669.

Total Amount is formed as General ($2,669) + Research ($0) + Ownership ($0) = $2,669.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Arthrex, Inc. ($1,287).

Total Amount

$2,669

General + Research + Ownership

Payments

26

Total payment records

General Amount

$2,669

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2024-07-18

PECOS data refreshed: 2026-05-27

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
I20240718001066IPodiatryNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44133)

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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: 6901117084View full group profile
NameSpecialtyState
P O D I A T R YNY
P O D I A T R YNJ
P O D I A T R YNJ
P O D I A T R YNJ
P O D I A T R YNJ
P O D I A T R YNY
P O D I A T R YNJ

Reviews

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Frequently asked questions

Does DR. SYDNEY SHAKESPEARE (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SYDNEY SHAKESPEARE (DPM) uses 1154904399.
Does the file indicate DR. SYDNEY SHAKESPEARE (DPM) is practicing under active NPI?
Directory data currently reports DR. SYDNEY SHAKESPEARE (DPM) as active.
What is DR. SYDNEY SHAKESPEARE (DPM) best known for clinically?
Directory data describes DR. SYDNEY SHAKESPEARE (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Does DR. SYDNEY SHAKESPEARE (DPM) list a practice location?
Patients near North Royalton, Ohio may find DR. SYDNEY SHAKESPEARE (DPM) in results; validate coverage separately.
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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