Individual provider Active NPI

Shane J Quiterio, M.D., PH.D.

  • Emergency Medicine Physician
  • Salisbury, MD
National Provider Identifier
1417089152
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C7-0003215 Issued in DE
Practice address
28155 Pathfinder CT
Salisbury, MD 21801-1805
Phone
(410) 422-7341
Fax
(443) 773-4700
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD450838 PA
Emergency Medicine Physician 207P00000X C1-0008387 DE
Emergency Medicine Physician 207P00000X C7-0003215 DE Primary

Addresses

Primary practice location

28155 Pathfinder CT
Salisbury, MD 21801-1805

Mailing address

28155 Pathfinder CT
Salisbury, MD 21801-1805
Phone (410) 422-7341

Other identifiers 3

IdentifierTypeStateIssuer
1417089152OtherDEBLUE SHIELD
102924881MedicaidPA
1417089152MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DC3 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
I20090211000738 MD Practitioner - Emergency Medicine 4587748082 Reassigns benefits to 2 organizations
I20140702002533 PA Practitioner - Emergency Medicine 4587748082 Reassigns benefits to 10 organizations
I20230427000343 DC Practitioner - Emergency Medicine 4587748082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Emergency Department Services, LLCGroup PAC ID 0143124701, 106 clinicians
J C Blair Memorial HospitalGroup PAC ID 2668378407, 98 clinicians
Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians

Practice addresses (Care Compare)

111 S Front St
Pinnacle HLTH ER Dept SVC LLC
Harrisburg, PA 17101-2010
Phone (717) 988-0000

1225 Warm Springs Ave
PHHD Emergency Dept
Huntingdon, PA 16652-2350
Phone (814) 643-8206

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4090

Hospital & facility affiliations

  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C7-0003215DEMDEmergency Medicine Physician
MD450838PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 10, 2022 Accepting new patients
Tyrone Hospital CurrentSince Mar 9, 2022 Accepting new patients
Geisinger Clinic CurrentSince Jun 17, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Windber Hospital, Inc. Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Dec 10, 2022 Accepting new patients
Windber Hospital, Inc CurrentSince Aug 1, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
Western Pennsylvania Pathology, P.C. Current Accepting new patients
Nason Physician Practices LLC CurrentSince Feb 8, 2023 Accepting new patients
J C Blair Memorial Hospital CurrentSince Feb 17, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 10, 2023 Accepting new patients
J C Blair Memorial Hospital CurrentSince Feb 17, 2022 Accepting new patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Jan 8, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Mar 10, 2023 Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince Feb 8, 2023 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Apr 15, 2023 Accepting new patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Jan 8, 2024 Accepting new patients
Nason Physician Practices LLC Emergency Medicine Current Accepting new patients
Tyrone Hospital CurrentSince Mar 9, 2022 Accepting new patients
Geisinger Clinic CurrentSince Jun 17, 2024 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 N Academy Ave
Danville, PA 17822

100 Hospital Ave
Ofc
Dubois, PA 15801

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • Direct secure messaging: squiterio1098600@direct.umm.edu
  • Direct secure messaging: squiterio47604@direct.conemaugh.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1417089152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28155 PATHFINDER CT",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218011805",
            "telephone_number": "410-422-7341",
            "fax_number": "443-773-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28155 PATHFINDER CT",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218011805",
            "telephone_number": "410-422-7341",
            "fax_number": "443-773-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUITERIO",
        "first_name": "SHANE",
        "middle_name": "J",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD450838",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C1-0008387",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C7-0003215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1417089152",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102924881",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417089152",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.