ATHAR SHADMANI
NPI 1679317226
Ophthalmology - Retina Specialist in Camp Hill, PA

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
4407 CARLISLE PIKE, CAMP HILL, PA 17011(717) 975-2015 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, Jun 19, 2024 (2 updates tracked since 2024).

About Athar Shadmani NPPES

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

ATHAR SHADMANI (NPI 1679317226) is an individual retina specialist in Camp Hill, Pennsylvania, licensed in Pennsylvania (MD491655) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1679317226
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameATHAR SHADMANI
Location Address4407 CARLISLE PIKECamp Hill, PA 17011-4159
Mailing Address2661 Riva Rd Ste 1030Annapolis, MD 21401-7131 · (570) 288-7405 · Fax (570) 288-7406
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 19, 2024
Last NPPES UpdateMay 15, 20262 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1679317226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in PA · MD491655
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN39136 (FL)
4407 CARLISLE PIKE, Camp Hill, PA 17011

Secondary Practice Location 1

Location 14100 Linglestown RdHarrisburg, PA 17112-1071 · Phone (717) 657-2020

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

Athar Shadmani 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 ID2466955232
PECOS Enrollment IDI20250910000212
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.

Medicare Billing Reassignment

Medicare enrollment records show Athar Shadmani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
1880 KENNETH RD STE 1
York, PA 17408
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Athar Shadmani's NPI number?

The NPI number for Athar Shadmani is 1679317226. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Athar Shadmani located?

Athar Shadmani practices at 4407 Carlisle Pike, Camp Hill, PA 17011. The listed phone number is (717) 975-2015.

What is Athar Shadmani's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Athar Shadmani enrolled in Medicare?

Yes. Athar Shadmani 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 organization bills Medicare for Athar Shadmani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athar Shadmani reassigns Medicare benefits to Vision Innovation Centers Of Pennsylvania LLC (York, PA). 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 Athar Shadmani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Athar Shadmani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Athar Shadmani 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 Athar Shadmani affiliated with any hospitals?

According to CMS data, Athar Shadmani is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Athar Shadmani was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.