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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SYDNEY NICOLE SHADE MD
NPI 1053014258
Internal Medicine in Baltimore, MD

Active since March 24, 2023PECOS Enrolled
22 S GREENE ST RM N3E09, BALTIMORE, MD 21201(410) 328-6110 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sydney Nicole Shade Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYDNEY NICOLE SHADE MD (NPI 1053014258) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0106946) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053014258
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSYDNEY NICOLE SHADECredential: MD
Location Address22 S GREENE ST RM N3E09Baltimore, MD 21201-1590
Mailing Address22 S Greene St Rm N3e09Baltimore, MD 21201-1590 · (410) 328-6110
Phone(410) 328-6110
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1053014258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0106946
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22 S GREENE ST RM N3E09, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Nicole Shade Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE MICHAELA PANAGOS MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NICHOLAS ANTHONY MUSACCHIO
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
RENUKA MEENU RAMCHANDRAN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ALEX PU MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
MEGAN BURIN
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ROHAN SINGH MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
BRADLEY RYBINSKI
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ETHAN KOTLOFF MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sydney Shade's NPI number?

The NPI number for Sydney Shade is 1053014258. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Sydney Shade located?

Sydney Shade practices at 22 S Greene St Rm N3e09, Baltimore, MD 21201. The listed phone number is (410) 328-6110.

What is Sydney Shade's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sydney Shade enrolled in Medicare?

Yes. Sydney Shade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Shade was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.