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

Shelly Polydor

Individual provider Medical Physician Assistant · NPI 1912418989

Shelly Polydor is a Physician Assistant in Pittsburgh, Pennsylvania. Qualified in 2017, 9 years ago. Practices with University of Pittsburgh Physicians, a 4,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
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Practice location Address checks out

3459 5th Ave 7 S
Pittsburgh, PA 15213-3236
Phone: (412) 647-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA059774 (PA)

Record details

NPI number1912418989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESApril 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Pittsburgh Physicians — 4127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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