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

Shanta Shepherd, MD

Individual provider Urology Physician · NPI 1174986756

Shanta Shepherd, MD is an Urology in Hartford, Connecticut. Graduated from Medical College of Wisconsin in 2016, 10 years ago. Practices with Prime Healthcare, PC, a 68-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Trained at
Medical College of Wisconsin
Licensed in
CT
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19 Woodland St Ste 23
Hartford, CT 06105-2368
Phone: (860) 522-2251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 68747 (CT)

Record details

NPI number1174986756
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022
Mailing address88 E Newton St, C515, Boston, MA 02118-2308

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2016 (10 years in practice)
Group practice Prime Healthcare, Pc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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