1. Home
  2. Directory
  3. Maryland
  4. Randallstown
  5. Surgery
  6. NPI Profile

SHANNON N RADOMSKI MD
NPI 1376002154
Surgery in Randallstown, MD

Active since March 19, 2019PECOS Enrolled
5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 521-2200(410) 521-7669 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2021, Jul 12, 2019, Jun 18, 2019 and 1 more (4 updates tracked since 2019).

About Shannon N Radomski Md NPPES

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

SHANNON N RADOMSKI MD (NPI 1376002154) is an individual surgery provider in Randallstown, Maryland, licensed in Maryland (D91293) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1376002154
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSHANNON N RADOMSKICredential: MD
Location Address5401 OLD COURT RDRandallstown, MD 21133-5103
Mailing Address5401 Old Court RdRandallstown, MD 21133-5103 · (410) 521-2200 · Fax (410) 521-7669
Phone(410) 521-2200
Fax(410) 521-7669
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateJuly 13, 20214 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1376002154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MD · D91293
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5401 OLD COURT RD, Randallstown, MD 21133
Open in Google Maps ↗

Secondary Practice Location 1

Location 1The Johns Hopkins Hospital, 1800 Orleans Street-Tower 110Baltimore, MD 21287-0010 · Phone (410) 955-5020

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon N Radomski 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 21133 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

LIFEBRIDGE ANESTHESIA ASSOCIATES, LLC
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
ZOENA YANNAKAKIS M.D.
Specialist
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
TONYA M. PEASE CRNA
Nurse Anesthetist, Certified Registered
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 496-7572
MS. SHANNON LYNN WATTS PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
SCOTT W STROMBERG PA
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
HARAMRIT RAJAN PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
EMERGENCY MEDICINE ASSOCIATES PA PC
Internal Medicine
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (330) 493-4443
JON A NEWSOME MD
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200

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 Shannon Radomski's NPI number?

The NPI number for Shannon Radomski is 1376002154. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Shannon Radomski located?

Shannon Radomski practices at 5401 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 521-2200.

What is Shannon Radomski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shannon Radomski enrolled in Medicare?

Yes. Shannon Radomski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Radomski was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.