Matthew John Shadle, DO
Individual provider Active NPI Diagnostic Radiology Physician · Baltimore, MD
NPI 1548720550 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1548720550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- H0098963 (MD)
- Practice address
- 22 S Greene St
Dept. of Radiology
Baltimore, MD 21201-1544 - Phone
- (410) 328-8667
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 35
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Pennsylvania Inc
Christiana Care Health Services Inc
Practice addresses (Care Compare)
161 Wilimington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (302) 320-9440
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Hospital & facility affiliations
- Christiana Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in DC, MD, DE, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240624000176 | DC | Practitioner - Diagnostic Radiology | 9436486230 | Reassigns benefits to 1 organization |
| I20240624000295 | MD | Practitioner - Diagnostic Radiology | 9436486230 | Reassigns benefits to 3 organizations |
| I20250818004112 | DE | Practitioner - Diagnostic Radiology | 9436486230 | Reassigns benefits to 2 organizations |
| I20250819001543 | PA | Practitioner - Diagnostic Radiology | 9436486230 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS024784 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Pennsylvania Inc | Diagnostic Radiology | Current | Accepting new patients |
| Christiana Care Pennsylvania Inc | Current |
Accepting new patients | |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current |
Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| University Imaging Center, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University Imaging Center, LLC | Diagnostic Radiology | Current |
Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
22 S Greene St
Ste S2A19
Baltimore, MD 21201
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345
161 Wilmington W Chester Pike
Ste 1400
Chadds Ford, PA 19317
Phone (610) 361-1145
161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060
900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C2-0024024 | DE | |
| Diagnostic Radiology Physician | 2085R0202X | OS024784 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | H0098963 | MD | Yes |
Addresses
Primary practice location
22 S Greene St
Dept. of Radiology
Baltimore, MD 21201-1544
Mailing address
22 S Greene St.
Dept. of Radiology
Baltimore, MD 21201-1544
Other practice location 1
4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1806
Other providers in Baltimore, MD
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- Jamie Erin Shade
- Sydney Nicole Shade
- Shades Place Assisted Living LLC
- Elizabeth Layne Shadis
- Genevieve Shaeffer
- Ayesha Shafaq
- Semiat Olaide Shafau
- Dawn M Shafer
- Ashton Annalouise Shaffer
All providers in Baltimore, MD · Diagnostic Radiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.