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DR. SHADY ABDELBAKI M.D.
NPI 1003270414
Internal Medicine - Rheumatology in Pottstown, PA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
1566 MEDICAL DR STE 104, POTTSTOWN, PA 19464(484) 945-0075 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2021, Feb 5, 2021, Nov 23, 2016 (3 updates tracked since 2016).

About Dr. Shady Abdelbaki M.d. NPPES

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

DR. SHADY ABDELBAKI M.D. (NPI 1003270414) is an individual rheumatology provider in Pottstown, Pennsylvania, licensed in Delaware (C1-0024350) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1003270414
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SHADY ABDELBAKICredential: M.D.
Location Address1566 MEDICAL DR STE 104Pottstown, PA 19464-3229
Mailing Address1001 Arborview Blvd Unit 1435Collegeville, PA 19426-4046 · (708) 501-3388
Phone(484) 945-0075
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2016
Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1003270414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in DE · C1-0024350
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License C1-0024350 (DE)
1566 MEDICAL DR STE 104, Pottstown, PA 19464
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Secondary Practice Location 1

Location 1501 W 14th StWilmington, DE 19801-1013 · Phone (302) 320-2490 · Fax (302) 623-4395

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from NH Healthy Families and more.Insurance ›

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

Dr. Shady Abdelbaki M.d. 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 ID1658625876
PECOS Enrollment IDI20210809000081, I20251031001537
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
283 services200 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABAHATH HUMA JALEEL MD
Internal Medicine (Rheumatology)
1566 MEDICAL DR STE 104
POTTSTOWN, PA 19464
Montgomery County (484) 945-0075

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 Shady Abdelbaki's NPI number?

The NPI number for Shady Abdelbaki is 1003270414. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Shady Abdelbaki located?

Shady Abdelbaki practices at 1566 Medical Dr Ste 104, Pottstown, PA 19464. The listed phone number is (484) 945-0075.

What is Shady Abdelbaki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shady Abdelbaki enrolled in Medicare?

Yes. Shady Abdelbaki 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.

What insurance does Shady Abdelbaki accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from NH Healthy Families and 2 other insurers list Shady Abdelbaki 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 Shady Abdelbaki affiliated with any hospitals?

According to CMS data, Shady Abdelbaki is affiliated with Reading Hospital, Pottstown Hospital, Phoenixville Hospital and Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Shady Abdelbaki was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.