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SABEENA SHAFI FAZILI M.D
NPI 1013159623
Family Medicine in Norristown, PA

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
703 DEKALB ST, NORRISTOWN, PA 19401(610) 619-8024 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, May 28, 2025, Apr 19, 2017 (3 updates tracked since 2017).

About Sabeena Shafi Fazili M.d NPPES

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

SABEENA SHAFI FAZILI M.D (NPI 1013159623) is an individual family medicine provider in Norristown, Pennsylvania, licensed in Pennsylvania (MD434913) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013159623
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSABEENA SHAFI FAZILICredential: M.D
Location Address703 DEKALB STNorristown, PA 19401-3945
Mailing AddressPo Box 746722Atlanta, GA 30374-6722
Phone(610) 619-8024
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 27, 2009
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1013159623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD434913
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License MD434913 (PA)
703 DEKALB ST, Norristown, PA 19401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11068 W Baltimore PikeMedia, PA 19063-5104 · Phone (610) 566-9400 · Fax (610) 627-4230
Location 22401 W Cheltenham AveWyncote, PA 19095-2946 · Phone (215) 444-7471

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sabeena Shafi Fazili 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 ID7810185568
PECOS Enrollment IDI20101221001102
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sabeena Fazili reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pmsi Collegeville Family Practice
7.2 mi
Family Medicine
555 SECOND AVENUE, SUITE 300
Collegeville, PA 19426
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Pottstown Medical Specialists Inc
  • 42 clinicians in this Medicare group
NPI 1942324330 (610) 454-7750
Osh - PA Physicians Group, PC
16 mi
Primary Care
3621 ARAMINGO AVE STE C5
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 196 clinicians in this Medicare group
NPI 1811405533 (215) 444-7472
Pottstown Clinic Company LLC
18 mi
Family Medicine
730 S HANOVER ST
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 474 clinicians in this Medicare group
NPI 1649341934 (610) 323-6835

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
89 services74 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.
20 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services16 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19401 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
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.

DANAH MERCER LSW
Social Worker
703 DEKALB ST
NORRISTOWN, PA 19401
Montgomery County (610) 619-8024

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 Sabeena Fazili's NPI number?

The NPI number for Sabeena Fazili is 1013159623. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Sabeena Fazili located?

Sabeena Fazili practices at 703 Dekalb St, Norristown, PA 19401. The listed phone number is (610) 619-8024.

What is Sabeena Fazili's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sabeena Fazili enrolled in Medicare?

Yes. Sabeena Fazili 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.

Which organizations bill Medicare for Sabeena Fazili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sabeena Fazili reassigns Medicare benefits to 3 organizations: Pmsi Collegeville Family Practice (Collegeville, PA), Osh - PA Physicians Group, PC (Philadelphia, PA) and Pottstown Clinic Company LLC (Pottstown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sabeena Fazili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sabeena Fazili accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sabeena Fazili 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 Sabeena Fazili affiliated with any hospitals?

According to CMS data, Sabeena Fazili is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Sabeena Fazili was last updated on November 11, 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.