Individual provider Active NPI

Kathleen J Shandrowski, PA

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1689726820
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C02151 Issued in MD
Practice address
210 E University Pkwy
Department of Emergency Medicine
Baltimore, MD 21218-2828
Phone
(410) 554-2626
NPI assigned
Jan 17, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C02151 MD Primary

Addresses

Primary practice location

210 E University Pkwy
Department of Emergency Medicine
Baltimore, MD 21218-2828

Mailing address

104 S Bouldin St
Baltimore, MD 21224-2201
Phone (410) 342-0115

Other identifiers 1

IdentifierTypeStateIssuer
P00148931OtherMDRAILROAD MED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040304000826 MD Practitioner - Physician Assistant 0345138145 Reassigns benefits to 3 organizations
I20211006000161 DC Practitioner - Physician Assistant 0345138145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C02151MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
Medstar Urgent Care LLC CurrentSince Feb 27, 2020 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC CurrentSince Jul 9, 2007 Accepting new patients
WHC Emerg Phys CurrentSince Mar 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
WHC Physician Group LLC CurrentSince Jul 1, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Feb 27, 2020 Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Past Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant Past Accepting new patients
Medlantic Healthcare Group Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1689726820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S BOULDIN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242201",
            "telephone_number": "410-342-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E UNIVERSITY PKWY",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182828",
            "telephone_number": "410-554-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDROWSKI",
        "first_name": "KATHLEEN",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED",
            "identifier": "P00148931",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.