Individual provider Active NPI

Olabisi Ololade Sheppard

  • Surgical Critical Care Physician
  • Hays, KS
National Provider Identifier
1457694408
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
0450937 Issued in KS
Practice address
2500 Canterbury Dr Ste 202
Hays, KS 67601-2281
Phone
(785) 623-5945
NPI assigned
Mar 28, 2013
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 32525 NE
Surgical Critical Care Physician 2086S0102X 0450937 KS Primary

Addresses

Primary practice location

2500 Canterbury Dr Ste 202
Hays, KS 67601-2281

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Other names 1

  • Olabisi Ololade Lashore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, GA, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200901002084 NE Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9638596919 Reassigns benefits to 1 organization
I20250314002143 GA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 9638596919 Reassigns benefits to 1 organization
I20250530003183 ID Practitioner - General Surgery 9638596919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

55 Whitcher Nest
130A
Marietta, GA 30060-1156
Phone (770) 426-1629

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 15, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince May 20, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince May 20, 2025 Accepting new patients
Unmc Physicians CurrentSince Sep 1, 2020 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Avera Marshall Past Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

2500 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 623-5945

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1457694408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR STE 202",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012281",
            "telephone_number": "785-623-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "OLABISI",
        "middle_name": "OLOLADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NE",
            "license": "32525",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KS",
            "license": "0450937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLABISI",
            "last_name": "LASHORE",
            "middle_name": "OLOLADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.