Roger B Shambo, MD, LLC
NPI 1215133491 · Family Medicine Physician · Copenhagen, NY
Roger B Shambo, MD, LLC is a Family Medicine Physician organization in Copenhagen, NY (NPI 1215133491).
Provider details
- NPI number
- 1215133491
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Shambo, Owner(315) 688-2305
- License
- 165521 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Roger B Shambo, MD, LLC's NPI number?
- Roger B Shambo, MD, LLC's National Provider Identifier (NPI) is 1215133491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roger B Shambo, MD, LLC?
- Roger B Shambo, MD, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Roger B Shambo, MD, LLC located?
- Roger B Shambo, MD, LLC's practice location on file with NPPES is 9732 State Route 12, Copenhagen, NY 13626-0026.
- What is Roger B Shambo, MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Roger B Shambo, MD, LLC is (315) 688-2305.
- Who is the authorized official for Roger B Shambo, MD, LLC?
- The authorized official listed on Roger B Shambo, MD, LLC's NPPES record is Roger Shambo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roger B Shambo, MD, LLC's NPI active?
- Yes — Roger B Shambo, MD, LLC's NPI (1215133491) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.