Individual provider Active NPI

Nathaniel Erez Shalom, M.D.

  • Diagnostic Radiology Physician
  • Hagerstown, MD
National Provider Identifier
1821412305
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0085719 Issued in MD
Practice address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone
(301) 790-8130
NPI assigned
Feb 5, 2014
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627000327 MD Practitioner - Diagnostic Radiology 0840547956 Reassigns benefits to 3 organizations

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
Diagnostic Imaging Services LLCGroup PAC ID 9739087214, 17 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

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 100Reported as group
Quality
82.66
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.85 of 100Reported as group
Quality
95.11
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085719MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services, LLC CurrentSince Jul 5, 2022 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Sep 2, 2024 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Sep 2, 2024 Accepting new patients
Associated Radiologists, PA CurrentSince Jul 5, 2022 Accepting new patients
University of Maryland Physicians, P.a. PastSince Dec 15, 2024 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.