Individual provider Active NPI

Shane D Stenehjem

  • Podiatrist
  • Franklin, MA
National Provider Identifier
1861478968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2204 Issued in MA
Practice address
9 Summer Street
Suite 202
Franklin, MA 02038-1914
Phone
(508) 528-2525
Fax
(508) 520-8901
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2204 MA Primary

Addresses

Primary practice location

9 Summer Street
Suite 202
Franklin, MA 02038-1914

Mailing address

9 Summer Street
Suite 202
Franklin, MA 02038-1914
Phone (508) 528-2525

Other identifiers 5

IdentifierTypeStateIssuer
Y71124OtherMABC/BS
494209OtherMATUFTS HEALTH PLAN
AA43714OtherMAHARVARD PILGRIM
27-01097OtherMAEVERCARE
7429718OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000765 MA Practitioner - Podiatry 5496731457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5401
Phone (617) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue7515
Removal or shaving of skin growth1171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jul 13, 2015 Accepting new patients
Charles F. Ross, DPM, PC Podiatrist Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861478968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SUMMER STREET",
            "address_2": "SUITE 202",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381914",
            "telephone_number": "508-528-2525",
            "fax_number": "508-520-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SUMMER STREET",
            "address_2": "SUITE 202",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381914",
            "telephone_number": "508-528-2525",
            "fax_number": "508-520-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENEHJEM",
        "first_name": "SHANE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y71124",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "494209",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA43714",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "27-01097",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7429718",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

Verify at the official NPI Registry.