Individual provider Active NPI

Shannen K. Allen, MD

  • Ophthalmology Physician
  • Rockville, MD
National Provider Identifier
1407876360
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0064522 Issued in MD
Practice address
15005 Shady Grove Rd.
Ste 100
Rockville, MD 20850-6341
Phone
(301) 279-9696
Fax
(301) 251-5454
NPI assigned
Jul 20, 2006
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0064522 MD Primary

Addresses

Primary practice location

15005 Shady Grove Rd.
Ste 100
Rockville, MD 20850-6341

Mailing address

15005 Shady Grove Rd.
Suite 100
Rockville, MD 20850-6341
Phone (301) 279-9696

Other identifiers 1

IdentifierTypeStateIssuer
547371100MedicaidMD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061016000468 DC Practitioner - Ophthalmology 3274539192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert C. Feldman, MD, PAGroup PAC ID 4385541168, 6 clinicians

Practice addresses (Care Compare)

14955 Shady Grove Rd
Suite 180
Rockville, MD 20850-8700
Phone (301) 279-9696

Merit-based Incentive Payment System (MIPS)

Final score
79.85 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
32.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Feldman, MD, PA Ophthalmology CurrentSince Jul 5, 2006 Accepting new patients

Locations

14955 Shady Grove Rd
Ste 180
Rockville, MD 20850
Phone (301) 279-9696

15005 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 279-9696

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1407876360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD.",
            "address_2": "SUITE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506341",
            "telephone_number": "301-279-9696",
            "fax_number": "301-251-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD.",
            "address_2": "STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506341",
            "telephone_number": "301-279-9696",
            "fax_number": "301-251-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHANNEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0064522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "547371100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.