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DR. JOHN DAVID SHEPHERD MD NPI 1225031271


NPI Information

NPI: 1225031271
Provider Name: DR. JOHN DAVID SHEPHERD, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
293 OLMSTED BLVD
STE 7
PINEHURST, NC
ZIP 28374
Phone: (910) 295-3344
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DR. John David Shepherd, MD is a nephrology internal medicine in Pinehurst, NC with 28 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. John David Shepherd, MD NPI is 1225031271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

293 OLMSTED BLVD
STE 7
PINEHURST, NC
ZIP 28374-023
Phone: (910) 295-3344
Fax: (910) 295-3165

The NPI 1225031271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 12/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology200200451NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H60960MEDICARE UPIN
289131C9MEDICAIDNORTH CAROLINA
32000800MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.