Paul Shaderowfsky, MD

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

MD070287L Issued in PA

Practice address

638 Fairview Rd
Clarks Summit, PA 18411-8955

Phone

(570) 281-1315

Fax

(570) 281-1256

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Rutgers New Jersey Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Warren General Hospital Hospital, Warren, PA, CCN 390146
• Warren General Hospital Hospital, Warren, PA, CCN 391319

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Allegheny Clinic Radiology

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1992183164
  Medicare reassignment Care Compare group NPD
• Northern Tier Imaging Corp

  • Diagnostic Radiology Physician
  • Clarks Summit, PA
  • NPI 1932337268
  NPD (past) Authorized official
• Zenith Medical Associates

  • Diagnostic Radiology Physician
  • Monroe Township, NJ
  • NPI 1851714224
  NPD (past) Authorized official
• Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1740482686
  NPD (past)
• FRG Central PA PC

  • Diagnostic Radiology Physician
  • Coudersport, PA
  • NPI 1487805693
  NPD (past)
• M Radiological Associates, PC

  • Body Imaging Physician
  • Dunmore, PA
  • NPI 1093865875
  NPD (past)
• Northeast Imaging Consultants, PC

  • Diagnostic Ultrasound Physician
  • Clarks Summit, PA
  • NPI 1194831073

  Nuclear Medicine

  NPD (past)

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

• Warren General Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Warren, PA
  • NPI 1376497362
  Care Compare affiliation
• Warren General Hospital

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701

  Hospital

  Care Compare affiliation
• Warren General Hospital

  • General Acute Care Hospital
  • Warren, PA
  • NPI 1659360220
  Care Compare affiliation

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720194699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070517",
            "telephone_number": "570-281-1287",
            "fax_number": "570-281-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 FAIRVIEW RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184118955",
            "telephone_number": "570-281-1315",
            "fax_number": "570-281-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADEROWFSKY",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "MD070287L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD070287L",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PA",
            "license": "MD070287L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806639",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Scalera, MD
• Krysten Schab, DC
• John A Scheland, DPM
• Juanita Segarra
• Bethany Serio
• Lalit J Shah, ED.D. OTR/L
• Sheela Prahalad M.D. PC
• Heidi Leanne Sheldon, LPC, NCC
• Sarah Shoener, LPC, M.A., NCP
• Vanessa Ann Silla, BCBA-D

• Diagnostic Ultrasound Physician in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Diagnostic Ultrasound Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.