NPIMap

Individual provider Active NPI

Shelby Lee Margut, MD

  • Family Medicine Physician
  • Fredericksburg, PA
National Provider Identifier
1720144165
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD431135 Issued in PA
Practice address
120 S. Tan St., Suite 1
Fredericksburg Community Health Center, P.C.
Fredericksburg, PA 17026-0009
Phone
(717) 865-6644
Fax
(717) 865-7321
NPI assigned
Dec 29, 2006
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD431135 PA Primary

Addresses

Primary practice location

120 S. Tan St., Suite 1
Fredericksburg Community Health Center, P.C.
Fredericksburg, PA 17026-0009

Mailing address

120 S Tan Aly Ste 1
Fredericksburg, PA 17026-9349
Phone (717) 865-6644

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smargut115320@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000442 PA Practitioner - Family Practice 0345349460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

120 S Tan Aly
Suite 1
Fredericksburg, PA 17026-9349
Phone (717) 865-6644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431135PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Renova Center Past Accepting new patients

Locations

120 S Tan Aly
Ste 1
Fredericksburg, PA 17026

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

100 E Queen St
Jonestown, PA 17038
Phone (717) 865-0739

Interoperability endpoints

  • Direct secure messaging: smargut115320@phsdirect.pinnaclehealth.org
  • Direct secure messaging: smargut19400@upmc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1720144165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S TAN ALY STE 1",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170269349",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S. TAN ST., SUITE 1",
            "address_2": "FREDERICKSBURG COMMUNITY HEALTH CENTER, P.C.",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170260009",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGUT",
        "first_name": "SHELBY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD431135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smargut115320@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "120 S. Tan St., Suite 1",
            "address_2": "Fredericksburg Community Health Center, P.C.",
            "city": "Fredericksburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170260009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, PA

Sources for this page

Verify at the official NPI Registry.