Individual provider Active NPI

Ergeba Sheferaw, MD

  • Diagnostic Radiology Physician
  • Pottsville, PA
National Provider Identifier
1780873323
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD497120 Issued in PA
Practice address
48 Tunnel Rd Ste 102
Pottsville, PA 17901-3875
Phone
(570) 622-6206
NPI assigned
Oct 19, 2007
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD497120 PA Primary

Addresses

Primary practice location

48 Tunnel Rd Ste 102
Pottsville, PA 17901-3875

Mailing address

13510 Nichols Dr
Clarksville, MD 21029-1341
Phone (240) 713-1317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130720000276 MD Practitioner - Diagnostic Radiology 9537300363 Reassigns benefits to 6 organizations
I20260430002609 NY Practitioner - Diagnostic Radiology 9537300363 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

124 Sister Pierre Dr
Towson, MD 21204-7507
Phone (410) 580-2400

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-013369OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Imaging Associates Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Cny Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Schuylkill Open MRI Inc CurrentSince Aug 10, 2026 Accepting new patients
New Rochelle Radiology Associates, P.C. Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Hudson Valley Diagnostic Imaging, PLLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
Medical Diagnostic Imaging PLLC CurrentSince Aug 1, 2025 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

124 Sister Pierre Dr
Towson, MD 21204
Phone (410) 580-2400

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334

4939 Brittonfield Pkwy
Ste 102
East Syracuse, NY 13057
Phone (315) 234-9679

745 State Route 17M
Ste 106
Monroe, NY 10950
Phone (845) 220-2222

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222

14 Raymond Ave
Poughkeepsie, NY 12603
Phone (845) 471-2848

1000 E Genesee St
Ste 100
Syracuse, NY 13210
Phone (315) 269-9729

1323 Route 9
Ste 107
Wappingers Falls, NY 12590
Phone (845) 471-2848

Interoperability endpoints

  • Direct secure messaging: esheferaw138047@direct.umm.edu

Organizations & group practices 10

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1780873323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 NICHOLS DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291341",
            "telephone_number": "240-713-1317",
            "fax_number": "240-713-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 TUNNEL RD STE 102",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013875",
            "telephone_number": "570-622-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFERAW",
        "first_name": "ERGEBA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD497120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.