Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin Sheppard

Individual provider Surgery Physician · NPI 1316574965

Kristin Sheppard is a General Surgery in New York, New York. Qualified in 2020, 6 years ago. Practices with Surgical Specialists of Greater Ny LLP, a 12-clinician group. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1060 5th Ave
New York, NY 10128-0104
Phone: (212) 988-8269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 337498-01 (NY)
Surgery Physician Taxonomy 208600000X · Licence 25MB12749500 (NJ)

Record details

NPI number1316574965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Surgical Specialists Of Greater Ny Llp — 12 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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