SHELLY POLYDOR
NPI 1912418989
Physician Assistant - Medical in Pittsburgh, PA
About Shelly Polydor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY POLYDOR (NPI 1912418989) is an individual medical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA059774) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Shelly Polydor 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.
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Presbyterian Shadyside
Acute Care Hospitals · Pittsburgh, PAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
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 Shelly Polydor's NPI number?
The NPI number for Shelly Polydor is 1912418989. It was assigned to this individual provider in the NPPES registry on October 18, 2017.
Where is Shelly Polydor located?
Shelly Polydor practices at 3459 5th Ave 7 South, Pittsburgh, PA 15213. The listed phone number is (412) 647-5800.
What is Shelly Polydor's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shelly Polydor enrolled in Medicare?
Yes. Shelly Polydor 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.
Is Shelly Polydor affiliated with any hospitals?
According to CMS data, Shelly Polydor is affiliated with Upmc Presbyterian Shadyside.
When was this NPI record last updated?
The NPPES record for Shelly Polydor was last updated on April 6, 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.
# Shelly Polydor · NPI 1912418989
Medical physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 18, 2017.
## Identity
- **NPI:** 1912418989 (Entity type: Individual)
- **Enumerated:** October 18, 2017
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** MA059774 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3459 5TH AVE, 7 SOUTH, Pittsburgh, PA 15213-3236
- **Phone:** (412) 647-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912418989) · Data from the CMS NPPES public registry.