Individual provider

Shane Blackmore, MD

Sports Medicine (Orthopaedic Surgery) Physician

Shane Blackmore, MD is a Sports Medicine (Orthopaedic Surgery) Physician in New York, NY, registered under NPI 1669806055. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 301 E 17TH ST ROOM 1402, New York, NY 10003. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

301 E 17TH ST ROOM 1402, New York, NY 10003 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P89608 NY Sports Medicine (Orthopaedic Surgery)… primary

This provider holds licence P89608 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Sports Medicine covers

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. NUCC Health Care Provider Taxonomy, code 207XX0005X
Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1669806055 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 21, 2013
Last updatedAug 21, 2013
StatusActive
Sole proprietorYes
CredentialMD
Practice address 301 E 17TH ST
ROOM 1402
New York, NY 10003
(212) 598-6509
Fax (212) 598-7654
Mailing address 2 COOPER SQ 9C
New York, NY 10003
This record was last updated on Aug 21, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1669806055 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 6 9 8 0 6 0 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 3 9 7 0 3 0 1

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1669806055?
NPI 1669806055 is the National Provider Identifier assigned to Shane Blackmore, MD in New York, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary…
How do I contact Shane Blackmore, MD?
The phone number on file with NPPES is (212) 598-6509, last updated Aug 21, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1669806055 a valid number?
Yes. 1669806055 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.