Individual provider Active NPI

Shevonne Chude

  • Physician Assistant
  • Pikesville, MD
National Provider Identifier
1114273695
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07932 Issued in TX
Practice address
1838 Greene Tree Rd Ste 340
Pikesville, MD 21208-7116
Phone
(410) 602-3376
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07932 TX Primary

Addresses

Primary practice location

1838 Greene Tree Rd Ste 340
Pikesville, MD 21208-7116

Mailing address

1838 Greene Tree Rd Ste 340
Pikesville, MD 21208-7116
Phone (410) 602-3376

Other practice location 1

5310 Harvest Hill Rd Ste 160
Dallas, TX 75230-5808
Phone (972) 661-2729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160429000171 MD Practitioner - Physician Assistant 5597064303 Reassigns benefits to 1 organization
I20250318003430 TX Practitioner - Physician Assistant 5597064303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Treatment and Research Center, PAGroup PAC ID 5698871929, 2 clinicians

Practice addresses (Care Compare)

5310 Harvest Hill Rd
Suite 160
Dallas, TX 75230-5808
Phone (972) 661-2729

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC CurrentSince May 1, 2022 Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince May 1, 2022 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

200 Harry S Truman Pkwy
Annapolis, MD 21401
Phone (410) 224-8220

1838 Greene Tree Rd
Ste 340
Pikesville, MD 21208
Phone (410) 602-3376

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Interoperability endpoints

  • Direct secure messaging: shevonne.chude@adcs1.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1114273695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 340",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087116",
            "telephone_number": "410-602-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 340",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087116",
            "telephone_number": "410-602-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Harvest Hill Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752305808",
            "country_code": "US",
            "telephone_number": "972-661-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDE",
        "first_name": "SHEVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.