Active NPI
Shakeem K Lane, MD
- Anesthesiology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD047879
- Practice address
- 1200 Pecan St SE
Washington, DC 20032-2652 - Phone
- (202) 823-4220
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD047879 | DC | Primary |
Addresses
Primary practice location
1200 Pecan St SE
Washington, DC 20032-2652
Mailing address
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-8248
Other practice location 1
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-8248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical University of South Carolina College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088
29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300
3001 S Hanover St
Baltimore, MD 21225-1233
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047879 | DC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Anesthesiology | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1356503874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784017",
"telephone_number": "410-535-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PECAN ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322652",
"telephone_number": "202-823-4220"
}
],
"practiceLocations": [
{
"address_1": "100 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Prince Frederick",
"state": "MD",
"postal_code": "206784017",
"country_code": "US",
"telephone_number": "410-535-8248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "SHAKEEM",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "MD047879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.