SYDNEY NICOLE SHADE MD
NPI 1053014258
Internal Medicine in Baltimore, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sydney Nicole Shade Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sydney Shade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 423 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 257 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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.
Which organizations bill Medicare for Sydney Shade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sydney Shade reassigns Medicare benefits to 2 organizations: St Paul Place Specialists, Inc. (Baltimore, MD) and Maryland Family Care, Inc. (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sydney Shade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 months 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.
# Sydney Nicole Shade, MD · NPI 1053014258
Internal Medicine physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 24, 2023.
## Identity
- **NPI:** 1053014258 (Entity type: Individual)
- **Enumerated:** March 24, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D0106946 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST RM N3E09, Baltimore, MD 21201-1590
- **Phone:** (410) 328-6110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Paul Place Specialists, Inc. (NPI 1174564736, Baltimore, MD); Maryland Family Care, Inc. (NPI 1598718256, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053014258) · Data from the CMS NPPES public registry.