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RONNIE SHADE JR. DO
NPI 1487394805
Family Medicine in Philadelphia, PA

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
2940 N 5TH ST, PHILADELPHIA, PA 19133(215) 302-3600(215) 329-2369 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, May 5, 2025 (2 updates tracked since 2025).

About Ronnie Shade Jr. Do NPPES

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

RONNIE SHADE JR. DO (NPI 1487394805) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS024474) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1487394805
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRONNIE SHADE JR.Credential: DO
Location Address2940 N 5TH STPhiladelphia, PA 19133-2801
Mailing Address2433 N 50th StPhiladelphia, PA 19131-1404 · (214) 417-2500
Phone(215) 302-3600
Fax(215) 329-2369
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1487394805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS024474
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2940 N 5TH ST, Philadelphia, PA 19133
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Secondary Practice Locations 2

Location 14417 N 6th StPhiladelphia, PA 19140-2319 · Phone (215) 302-3600 · Fax (215) 329-2369
Location 2861 E Allegheny AvePhiladelphia, PA 19134-2401 · Phone (215) 302-3600 · Fax (215) 329-2369

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronnie Shade Jr. Do 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.

PECOS PAC ID4082001573
PECOS Enrollment IDI20250603003201
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 19133 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

CHELSEA TIFFANY SALAS-TAM
Family Medicine
2940 N 5TH ST
PHILADELPHIA, PA 19133
Philadelphia County (215) 302-3600
JOEL MCINTOSH LCSW
Social Worker (Clinical)
2940 N 5TH ST
PHILADELPHIA, PA 19133
Philadelphia County (215) 221-6633

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 Ronnie Shade's NPI number?

The NPI number for Ronnie Shade is 1487394805. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Ronnie Shade located?

Ronnie Shade practices at 2940 N 5th St, Philadelphia, PA 19133. The listed phone number is (215) 302-3600.

What is Ronnie Shade's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ronnie Shade enrolled in Medicare?

Yes. Ronnie Shade 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.

When was this NPI record last updated?

The NPPES record for Ronnie Shade was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.