SHAVONTAY TATE PA-C
NPI 1922766138
Physician Assistant in Baltimore, MD
About Shavontay Tate Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAVONTAY TATE PA-C (NPI 1922766138) is an individual physician assistant in Baltimore, Maryland and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Temple University School Of Medicine (2021).
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
Shavontay Tate Pa-c 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medstar Franklin Square Medical Center
Acute Care Hospitals · Rosedale, MDMedstar Harbor Hospital
Acute Care Hospitals · Baltimore, MDMedstar Good Samaritan Hospital
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21239 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.
BALTIMORE, MD 21239
BALTIMORE, MD 21239
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 Shavontay Tate's NPI number?
The NPI number for Shavontay Tate is 1922766138. It was assigned to this individual provider in the NPPES registry on December 5, 2021.
Where is Shavontay Tate located?
Shavontay Tate practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (443) 469-8227.
What is Shavontay Tate's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Shavontay Tate enrolled in Medicare?
Yes. Shavontay Tate 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 Shavontay Tate affiliated with any hospitals?
According to CMS data, Shavontay Tate is affiliated with Medstar Franklin Square Medical Center, Medstar Harbor Hospital and Medstar Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Shavontay Tate was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shavontay Tate, PA-C · NPI 1922766138
Physician Assistant physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since December 5, 2021.
## Identity
- **NPI:** 1922766138 (Entity type: Individual)
- **Enumerated:** December 5, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5601 LOCH RAVEN BLVD, Baltimore, MD 21239-2945
- **Phone:** (443) 469-8227
## 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:** Temple University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** March 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922766138) · Data from the CMS NPPES public registry.