Individual provider Active NPI

Mark S Shimko, MD

  • Urology Physician
  • Salisbury, MD
National Provider Identifier
1457541278
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0073462 Issued in MD
Practice address
1342 S Division St
#401
Salisbury, MD 21804-6921
Phone
(410) 546-2133
Fax
(410) 548-3361
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C1-0009994 DE
Urology Physician 208800000X 50973 MN
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X D0073462 MD Primary

Addresses

Primary practice location

1342 S Division St
#401
Salisbury, MD 21804-6921

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (410) 581-1600

Other practice location 1

1111 Mount Hermon Rd
Salisbury, MD 21804-5109
Phone (410) 546-2133

Other practice location 2

314 Franklin Ave Ste 302
Berlin, MD 21811-1238
Phone (410) 641-3735

Other practice location 3

220 Pennsylvania Ave
Seaford, DE 19973-3820
Phone (410) 391-6131

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN
P00645889OtherMNMEDICARE, RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120627000273 MD Practitioner - Urology 7719053628 Reassigns benefits to 1 organization
I20120724000656 DE Practitioner - Urology 7719053628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Maryland School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

1111 Mount Hermon Rd
A
Salisbury, MD 21804-5109
Phone (410) 546-2133

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

314 Franklin Ave
Suite 302
Berlin, MD 21811-1238
Phone (410) 641-3735

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection39
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0009994DEMDUrology Physician
D0073462MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Apr 1, 2018 Accepting new patients
Chesapeake Urology Associates LLC Urology CurrentSince Apr 1, 2018 Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Apr 1, 2018 Accepting new patients

Locations

1340 Middleford Rd
Ste 402
Seaford, DE 19973
Phone (302) 628-8706

220 Pennsylvania Ave
Seaford, DE 19973
Phone (302) 628-4222

314 Franklin Ave
Ste 302
Berlin, MD 21811
Phone (410) 641-0430

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

1342 S Division St
#401
Salisbury, MD 21804
Phone (410) 546-2133

1111 Mount Hermon Rd
Salisbury, MD 21804
Phone (410) 543-0446

1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133

1111 Mount Hermon Rd
Ste A
Salisbury, MD 21804
Phone (410) 546-2133

Interoperability endpoints

  • Direct secure messaging: markshimko@tsicua.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1457541278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "410-581-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 S DIVISION ST",
            "address_2": "#401",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046921",
            "telephone_number": "410-546-2133",
            "fax_number": "410-548-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Mount Hermon Rd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045109",
            "country_code": "US",
            "telephone_number": "410-546-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Franklin Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111238",
            "country_code": "US",
            "telephone_number": "410-641-3735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733820",
            "country_code": "US",
            "telephone_number": "410-391-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMKO",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DE",
            "license": "C1-0009994",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "50973",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0073462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "P00645889",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.