Individual provider Active NPI

Edwin Shadzeka, MD

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1124213459
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD432750 Issued in PA
Practice address
4314 Rustling Leaves Ter
Bowie, MD 20716-3608
Phone
(301) 806-2461
NPI assigned
Sep 10, 2007
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101998675MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070925000214 PA Practitioner - HospitalistPractitioner - Internal Medicine 8325132129 Reassigns benefits to 6 organizations
I20170811002438 KY Practitioner - Internal MedicinePractitioner - Hospitalist 8325132129 Reassigns benefits to 2 organizations
I20260120001306 OH Practitioner - Internal Medicine 8325132129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Ohio, Inc.Group PAC ID 6103997747, 33 clinicians

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

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Apr 24, 2017 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince May 5, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 19, 2013 Accepting new patients
Hospital Medicine Services of Ohio, Inc. Hospitalist CurrentSince Mar 1, 2026 Accepting new patients
St. Luke's Physician Group Inc CurrentSince Nov 6, 2018 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 19, 2013 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Oct 1, 2022 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 6, 2018 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Aug 18, 2021 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Oct 1, 2022 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2022 Accepting new patients
Phoenixville Clinic Company LLC Hospitalist Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2022 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

  • FHIR API: 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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.