DR. LAUREN SHOULDIS (DPM) – Single Specialty Group, NPI 1689015463

DR. LAUREN SHOULDIS (DPM) is a healthcare provider. based in Norfolk, Virginia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 0103301182 (VA). The NPI Number for DR. LAUREN SHOULDIS (DPM) is 1689015463

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAUREN SHOULDIS (DPM)
NPI
1689015463
Phone
(757) 451-1220
Address
3509 Granby St
Enumeration Date
9 July 2013
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7574511220
Graduation Year
2013 (13 years ago)
PAC ID
9931488707
Group Practice PAC ID
3577459544
Professional Enrollment ID
I20161118000116
Address ID
VA235041312NO3509XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

433 PODIATRY in VA

Provider Addresses for DR. LAUREN SHOULDIS (DPM)

  • 3509 Granby St

    Norfolk, VA 235041312

    Phone: (757) 451-1220

    Fax: (757) 451-1426

    Type: Location

  • 1101 Battlefield Blvd N

    Chesapeake, VA 233204735

    Phone: (757) 498-0202

    Type: Location

  • 4224 HOLLAND RD

    VIRGINIA BEACH, VA 234521900

    Phone: (757) 498-0202

    Type: Mailing

  • 3720 HOLLAND RD STE 100

    VIRGINIA BEACH, VA 234522859

    Phone: (757) 498-0202

    Fax: (757) 498-7936

    Type: Mailing

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 $1,065.

Total Amount is formed as General ($1,065) + Research ($0) + Ownership ($0) = $1,065.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Horizon Therapeutics plc ($284).

Total Amount

$1,065

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,065

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2016-11-18

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
I20161118000116IPodiatryVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes527214$0
11721Removal of fingernails or toenails, 6 or more nails18081$0
99214Established patient office or other outpatient visit, 30-39 minutes11188$0
73630X-ray of foot, minimum of 3 views9761$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
View full utilization report →

Insurance plans in this area (ZIP 23504)

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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: 3577459544View full group profile
NameSpecialtyState
P O D I A T R YVA
P O D I A T R YVA
P O D I A T R YVA
P O D I A T R YVA
P O D I A T R YVA

Reviews

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Frequently asked questions

Is there an official ID for DR. LAUREN SHOULDIS (DPM) in U.S. healthcare records?
The official identifier for DR. LAUREN SHOULDIS (DPM) is NPI 1689015463.
Would DR. LAUREN SHOULDIS (DPM) appear as active to a payer?
You can treat DR. LAUREN SHOULDIS (DPM) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. LAUREN SHOULDIS (DPM)?
DR. LAUREN SHOULDIS (DPM)'s specialty line reads Single Specialty Group. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LAUREN SHOULDIS (DPM)?
Directory geography for DR. LAUREN SHOULDIS (DPM) centers on Norfolk, Virginia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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