Individual provider Active NPI

Charles Hunter Shaller, MD

  • Anesthesiology Physician
  • Lancaster, PA
National Provider Identifier
1609337013
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD490524 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2207
Phone
(717) 544-4676
Fax
(717) 544-7157
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD490524 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2207

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4676

Other practice location 1

82 164th Street
Jamaica, NY 11432
Phone (718) 883-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, PA3 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
I20230718002530 NY Practitioner - Anesthesiology 9931569290 Reassigns benefits to 1 organization
I20240923000982 CA Practitioner - Anesthesiology 9931569290 Reassigns benefits to 1 organization
I20250917004335 PA Practitioner - Anesthesiology 9931569290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

555 N Duke St
Penn Medicine Lancaster General Health Crna
Lancaster, PA 17602-2250
Phone (717) 544-5511

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Lancaster General Hospital CurrentSince Oct 13, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Sep 1, 2023 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lanaster General Hospital Anesthesiology CurrentSince Oct 13, 2025 Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

Organizations & group practices 7

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 3

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1609337013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-4676",
            "fax_number": "717-544-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022207",
            "telephone_number": "717-544-4676",
            "fax_number": "717-544-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 164th Street",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "11432",
            "country_code": "US",
            "telephone_number": "718-883-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALLER",
        "first_name": "CHARLES",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD490524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.