Active NPI
Edwin Shadzeka, MD
- Internal Medicine Physician
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD432750
- Practice address
- 4314 Rustling Leaves Ter
Bowie, MD 20716-3608 - Phone
- (301) 806-2461
- NPI assigned
- Sep 10, 2007
- Last updated
- Jul 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD432750 | PA | Primary |
| Hospitalist Physician | 208M00000X | MD432750 | PA |
Addresses
Primary practice location
4314 Rustling Leaves Ter
Bowie, MD 20716-3608
Mailing address
4314 Rustling Leaves Ter
Bowie, MD 20716-3608
Phone (301) 806-2461
Other practice location 1
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101998675 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000
610 W Main St
Wilmington, OH 45177-2194
Phone (937) 382-9284
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Regional Physicians | Internal Medicine | Current | Accepting new patients |
| Pinnacle Health Hospitalist Services LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Kentucky, PSC | Internal Medicine | Current | Accepting new patients |
| Excela Health Physician Practices, Inc. | Current | Accepting new patients | |
| Hospital Medicine Services of Ohio, Inc. | Hospitalist | Current | Accepting new patients |
| St. Luke's Physician Group Inc | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc. | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Hospitalist | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Saint Joseph Health System, Inc | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Interoperability endpoints
- https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1053362293
-
- Hospitalist Physician
- Mount Gilead, OH
- NPI 1073781597
-
- Hospitalist Physician
- Danville, KY
- NPI 1679522346
-
dba Excela Health Cardiology
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
-
dba Cardiology Limerick Tower Health Medical Group
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
Hospitalist
-
- Hospitalist Physician
- Harrisburg, PA
- NPI 1023458148
Internal Medicine
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Family Medicine Physician
- West Newton, PA
- NPI 1073609236
-
dba Walk-in Clinic
- Family Medicine Physician
- Greensburg, PA
- NPI 1235004193
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Murray, KY
- NPI 1043336910
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
-
dba CHI Saint Joseph London
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
-
dba O'Bleness Memorial Hospital
- General Acute Care Hospital
- Athens, OH
- NPI 1710913462
-
dba TriHealth Clinton Regional Hospital
- General Acute Care Hospital
- Wilmington, OH
- NPI 1457243586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1124213459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 RUSTLING LEAVES TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163608",
"telephone_number": "301-806-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 RUSTLING LEAVES TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163608",
"telephone_number": "301-806-2461"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178379350",
"country_code": "US",
"telephone_number": "570-522-4264",
"fax_number": "570-768-3709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHADZEKA",
"first_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD432750",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD432750",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101998675",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.