SHANNON N RADOMSKI MD
NPI 1376002154
Surgery in Randallstown, MD
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon N Radomski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Radomski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Randallstown, MD 21133
- Reassigned Medicare billing, Maryland enrollment
- 194 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 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.
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.
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.
Which organization bills Medicare for Shannon Radomski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Radomski reassigns Medicare benefits to Northwest Hospital Center, Inc (Randallstown, MD). The 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 Shannon Radomski'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 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.
# Shannon N Radomski, MD · NPI 1376002154
Surgery physician in Randallstown, Maryland. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1376002154 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** D91293 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 5401 OLD COURT RD, Randallstown, MD 21133-5103
- **Phone:** (410) 521-2200 · **Fax:** (410) 521-7669
## 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:** Northwest Hospital Center, Inc (NPI 1982708228, Randallstown, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376002154) · Data from the CMS NPPES public registry.