Shannon M. Dean, M.D.
NPI 1417910647ActiveIndividual· Pediatrics· Memphis, TN
Pediatrics (M.D.) in Memphis, Tennessee, licensed in TN and WI, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1417910647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 10, 2006 |
| Last updated in NPPES | Oct 13, 2021 |
| Certified by provider | Oct 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 64073 | TN |
| Pediatrics, Pediatric Hematology-Oncology | 2080P0207X | 64073 | TN |
| Pediatrics, Child Abuse Pediatrics | 2080C0008X | 46051-20 | WI |
| Hospitalist | 208M00000X | 46051-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (TN) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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