Active NPI
Shavkat R Ruziev, MD
- Internal Medicine Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD445750
- Practice address
- 974 Isabel Dr
Lebanon, PA 17042-7482 - Phone
- (717) 297-7900
- Fax
- (717) 273-7323
- NPI assigned
- Jun 24, 2008
- Last updated
- Oct 23, 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 | MD445750 | PA | Primary |
| Internal Medicine Physician | 207R00000X | 204756 | LA |
Addresses
Primary practice location
974 Isabel Dr
Lebanon, PA 17042-7482
Mailing address
974 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 297-7900
Other practice location 1
4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8867
Other practice location 2
245 Bloomfield Dr Ste 210
Lititz, PA 17543-7788
Phone (717) 297-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1160652 | Medicaid | LA | |
| 102757120 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
974 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 297-7900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
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 |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Lebanon Wellness | Internal Medicine | Current | Accepting new patients |
| Suburban Geriatrics II PC | Internal Medicine | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Qualicare | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Violet Valley Long Term Care PC | Current | Accepting new patients | |
| Suburban Geriatrics, Inc. | Internal Medicine | Current | Accepting new patients |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| J C Blair Medical Services Inc | Internal Medicine | Current | Accepting new patients |
| Pinnacle Health Medical Services | Internal Medicine | Current | Accepting new patients |
| Lebanon Wellness | Internal Medicine | Current | Accepting new patients |
| Parish Hospital Service District for the Parish of Orleans Dist a | Past | Accepting new patients | |
| East Jefferson Physicians Group LLC | Internal Medicine | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206
7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485
974 Isabel Dr
Lebanon, PA 17042
Phone (717) 277-0612
4000 Linglestown Rd
Linglestown, PA 17112
Phone (717) 231-8867
245 Bloomfield Dr
Ste 210
Lititz, PA 17543
Phone (717) 297-7900
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
Interoperability endpoints
- shavkat.ruziev@1069632563511300.direct.elationemr.com
Organizations & group practices 18
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
- Plymouth Meeting, PA
- NPI 1073273363
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1679594808
-
dba Penn Highlands Medical Services Inc
- Family Medicine Physician
- Huntingdon, PA
- NPI 1861575938
Internal Medicine
-
- Hospitalist Physician
- Harrisburg, PA
- NPI 1023458148
Internal Medicine
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Internal Medicine
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1649164617
-
- Internal Medicine Physician
- Lititz, PA
- NPI 1063374601
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
dba Parkesburg Outpatient Center
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792713600000",
"number": "1578724308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 ISABEL DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427482",
"telephone_number": "717-297-7900",
"fax_number": "717-276-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 ISABEL DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427482",
"telephone_number": "717-297-7900",
"fax_number": "717-273-7323"
}
],
"practiceLocations": [
{
"address_1": "4000 Linglestown Rd",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171121017",
"country_code": "US",
"telephone_number": "717-231-8867",
"fax_number": "717-221-5219",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Bloomfield Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175437788",
"country_code": "US",
"telephone_number": "717-297-7900",
"fax_number": "717-276-7323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUZIEV",
"first_name": "SHAVKAT",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD445750",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "204756",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1160652",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102757120",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.