Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Scrudato, MD

Individual provider Diagnostic Radiology Physician · NPI 1154642221

Shannon Scrudato, MD is a Diagnostic Radiology in Lancaster, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Ami Atlanticare LLC, a 63-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
16
Licensed in
NY, PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 N Duke St
Lancaster, PA 17602-2250
Phone: (717) 299-4173
Fax: (717) 295-4773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD457332 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2788601-1 (NY)

Record details

NPI number1154642221
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2010
Last updated in NPPESOctober 13, 2016
Mailing address555 N Duke St, Lancaster, PA 17602-2250

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ami Atlanticare Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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