Active NPI
Nathaniel Erez Shalom, M.D.
- Diagnostic Radiology Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0085719
- Practice address
- 11116 Medical Campus Rd
Hagerstown, MD 21742-6710 - Phone
- (301) 790-8130
- NPI assigned
- Feb 5, 2014
- Last updated
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0085719 | MD | Primary |
Addresses
Primary practice location
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Mailing address
10715 Downsville Pike Ste 103
Hagerstown, MD 21740-7240
Phone (301) 739-6144
Other practice location 1
1101 Opal Ct
Hagerstown, MD 21740-5941
Phone (301) 714-4200
Other practice location 2
13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (301) 714-4200
Other practice location 3
11110 Medical Campus Rd Ste 222
Hagerstown, MD 21742-6797
Phone (301) 714-4200
Other practice location 4
11110 Medical Campus Rd Ste 245
Hagerstown, MD 21742-6797
Phone (301) 714-4200
Other practice location 5
11110 Medical Campus Rd Ste 204
Hagerstown, MD 21742-6797
Phone (301) 714-1200
Other practice location 6
1110 Professional Ct
Hagerstown, MD 21740-5826
Phone (301) 714-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Johns Hopkins University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11110 Medical Campus Rd
Suite 245
Hagerstown, MD 21742-6797
Phone (301) 714-4200
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.76 of 100
- Quality
- 82.66
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.85 of 100
- Quality
- 95.11
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0085719 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Services, LLC | Current | Accepting new patients | |
| Meritus Medical Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Associated Radiologists, PA | Current | Accepting new patients | |
| University of Maryland Physicians, P.a. | Past | Accepting new patients |
Locations
10715 Downsville Pike
Ste 103
Hagerstown, MD 21740
Phone (240) 313-9940
1101 Opal Ct
Hagerstown, MD 21740
Phone (301) 665-1462
1110 Professional Ct
Hagerstown, MD 21740
Phone (240) 420-5559
11110 Medical Campus Rd
Ste 204
Hagerstown, MD 21742
Phone (301) 714-4200
11110 Medical Campus Rd
Ste 222
Hagerstown, MD 21742
Phone (301) 714-4200
11110 Medical Campus Rd
Ste 245
Hagerstown, MD 21742
Phone (301) 714-4200
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100
Organizations & group practices 6
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.
-
- Radiology Clinic/Center
- Hagerstown, MD
- NPI 1114982808
-
dba Meritus Palliative Care
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Specialist
- Hagerstown, MD
- NPI 1932164613
-
dba Meritus Radiology
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1184477911
-
dba Meritus EKG Lab
- Cardiac Rehabilitation Clinic/Center
- Hagerstown, MD
- NPI 1245256213
-
dba University of Maryland Medical Group
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578370805
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
-
dba WellSpan Waynesboro Hospital
- Clinic/Center
- Fayetteville, PA
- NPI 1306989561
Hospital
-
dba WellSpan Waynesboro Hospital
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1821412305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 DOWNSVILLE PIKE STE 103",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217407240",
"telephone_number": "301-739-6144",
"fax_number": "301-739-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "301-790-8130"
}
],
"practiceLocations": [
{
"address_1": "1101 Opal Ct",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217405941",
"country_code": "US",
"telephone_number": "301-714-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13620 Crayton Blvd",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217422335",
"country_code": "US",
"telephone_number": "301-714-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11110 Medical Campus Rd Ste 222",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426797",
"country_code": "US",
"telephone_number": "301-714-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11110 Medical Campus Rd Ste 245",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426797",
"country_code": "US",
"telephone_number": "301-714-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11110 Medical Campus Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426797",
"country_code": "US",
"telephone_number": "301-714-1200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1110 Professional Ct",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217405826",
"country_code": "US",
"telephone_number": "301-714-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHALOM",
"first_name": "NATHANIEL",
"middle_name": "EREZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-05",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0085719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.