Individual provider Active NPI

Shankar Lakshman, MD

  • Plastic and Reconstructive Surgery Physician
  • Pasadena, CA
National Provider Identifier
1699799023
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A91704 Issued in CA
Practice address
10 Congress St
Suite # 360
Pasadena, CA 91105-3045
Phone
(626) 683-9080
Fax
(626) 628-1714
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A91704 CA
Surgery of the Hand (Surgery) Physician 2086S0105X A91704 CA
Plastic and Reconstructive Surgery Physician 2086S0122X A91704 CA Primary

Addresses

Primary practice location

10 Congress St
Suite # 360
Pasadena, CA 91105-3045

Mailing address

10 Congress St
Suite # 360
Pasadena, CA 91105-3045
Phone (626) 683-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070129000575 CA Practitioner - Plastic and Reconstructive Surgery 1254332588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Orthopedic Surgical GroupGroup PAC ID 8224026596, 18 clinicians

Practice addresses (Care Compare)

10 Congress St
Suite 360
Pasadena, CA 91105-3020
Phone (626) 683-9080

39 Congress St
Suite 200
Pasadena, CA 91105-3024
Phone (626) 795-0282

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of tissue52
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91704CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shankar Lakshman MD Medical Inc Specialist CurrentSince Jan 29, 2007 Accepting new patients
Huntington Orthopedic Surgical Group CurrentSince Jan 1, 2022 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

39 Congress St
Ste 200
Pasadena, CA 91105
Phone (626) 795-0282

837 S Fair Oaks Ave
Ste 204
Pasadena, CA 91105
Phone (626) 627-2141

10 Congress St
Ste 360
Pasadena, CA 91105
Phone (626) 683-9080

65 N Madison Ave
Ste 601
Pasadena, CA 91101
Phone (323) 375-8175

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1699799023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "SUITE # 360",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053045",
            "telephone_number": "626-683-9080",
            "fax_number": "626-628-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "SUITE # 360",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053045",
            "telephone_number": "626-683-9080",
            "fax_number": "626-628-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKSHMAN",
        "first_name": "SHANKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A91704",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A91704",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A91704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.