DR. EDWIN SHADZEKA MD
NPI 1124213459
Internal Medicine in Bowie, MD
About Dr. Edwin Shadzeka Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWIN SHADZEKA MD (NPI 1124213459) is an individual internal medicine provider in Bowie, Maryland, licensed in Pennsylvania (MD432750) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and maintains a secondary practice location in Lewisburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edwin Shadzeka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Edwin Shadzeka reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shrewsbury, PA 17361
- Reassigned Medicare billing, Pennsylvania enrollment
- 468 clinicians in this Medicare group
Shrewsbury, PA 17361
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Harrisburg, PA 17109
- Reassigned Medicare billing, Pennsylvania enrollment
- 322 clinicians in this Medicare group
Reading, PA 19608
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Reading, PA 19607
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Phoenixville, PA 19460
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
Ligonier, PA 15658
- Reassigned Medicare billing, Pennsylvania enrollment
- 669 clinicians in this Medicare group
Mount Gilead, OH 43338
- Reassigned Medicare billing, Ohio enrollment
- 89 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 236 clinicians in this Medicare group
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 89 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph London
Acute Care Hospitals · London, KYMurray-Calloway County Hospital
Acute Care Hospitals · Murray, KYOhiohealth O'bleness Hospital
Acute Care Hospitals · Athens, OHClinton Memorial Hospital
Acute Care Hospitals · Wilmington, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Edwin Shadzeka's NPI number?
The NPI number for Edwin Shadzeka is 1124213459. It was assigned to this individual provider in the NPPES registry on September 10, 2007.
Where is Edwin Shadzeka located?
Edwin Shadzeka practices at 4314 Rustling Leaves Ter, Bowie, MD 20716. The listed phone number is (301) 806-2461.
What is Edwin Shadzeka's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edwin Shadzeka enrolled in Medicare?
Yes. Edwin Shadzeka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Edwin Shadzeka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Shadzeka reassigns Medicare benefits to 10 organizations: Pinnacle Health Regional Physicians (Shrewsbury, PA), Wellspan Medical Group (Shrewsbury, PA), Pinnacle Health Hospitalist Services LLC (Harrisburg, PA), St Luke's Physician Group, Inc (Reading, PA), Tower Health Medical Group (Reading, PA) and 5 more organizations, listed in the Medicare section above. 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 Edwin Shadzeka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edwin Shadzeka accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Edwin Shadzeka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Edwin Shadzeka affiliated with any hospitals?
According to CMS data, Edwin Shadzeka is affiliated with Saint Joseph London, Murray-Calloway County Hospital, Ohiohealth O'bleness Hospital and Clinton Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Edwin Shadzeka was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Edwin Shadzeka, MD · NPI 1124213459
Internal Medicine physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since September 10, 2007.
## Identity
- **NPI:** 1124213459 (Entity type: Individual)
- **Enumerated:** September 10, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD432750 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4314 RUSTLING LEAVES TER, Bowie, MD 20716-3608
- **Phone:** (301) 806-2461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Pinnacle Health Regional Physicians (NPI 1619406097, Shrewsbury, PA); Wellspan Medical Group (NPI 1003229626, Shrewsbury, PA); Pinnacle Health Hospitalist Services LLC (NPI 1023458148, Harrisburg, PA); St Luke's Physician Group, Inc (NPI 1144091802, Reading, PA); Tower Health Medical Group (NPI 1417394115, Reading, PA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 27, 2026
- **Other identifiers:** Medicaid 101998675 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124213459) · Data from the CMS NPPES public registry.