Oleg B. Shpak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0034860 Issued in MD

Practice address

9470 Annapolis Rd
Ste 210
Lanham, MD 20706-3038

Phone

(301) 577-5511

Fax

(301) 577-1177

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149

Merit-based Incentive Payment System (MIPS)

Final score

33.94 of 100Reported as individual

Quality

15

Improvement activities

0

Cost

84.06

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Oleg B. Shpak, MD, PA

  • Clinic/Center
  • Lanham, MD
  • NPI 1316068083

  DC, Single Specialty

  Medicare reassignment NPD Authorized official
• Oleg B. Shpak, MD, PA

  • Clinic/Center
  • Rockville, MD
  • NPI 1689893109
  NPD Authorized official
• Suburban/NRH Medical Rehabilitation Inc

  • Rehabilitation Clinic/Center
  • Bethesda, MD
  • NPI 1457354748
  Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of Maryland, LLC

  • Home Health Agency
  • Largo, MD
  • NPI 1831143908
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1376546069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 210",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063038",
            "telephone_number": "301-577-5511",
            "fax_number": "301-577-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "STE 210",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063038",
            "telephone_number": "301-577-5511",
            "fax_number": "301-577-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPAK",
        "first_name": "OLEG",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282021800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Pemwoya Shipu
• Oludamilola Shodeinde, LCSW-C
• Olawunmi Shomorin
• Funmilayo Shonibare
• Angelica Monae Short
• Bih Yoland Shu
• Valentine Visoh Shuenyingong
• Rebecca Paka Shyam
• Sibley Medical Incorporated
• Kianna Tamara Silvera, RD, CDE, LDN

• Internal Medicine Physician in Lanham, MD
• Providers in Lanham, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.

Verify at the official NPI Registry.