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DR. SAFIYYA SHABAZZ MD
NPI 1033147178
Family Medicine in Philadelphia, PA

Active since June 29, 2006PECOS Enrolled
22 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119(215) 924-2440 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2018, Apr 9, 2018 (2 updates tracked since 2018).

About Dr. Safiyya Shabazz Md NPPES

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

DR. SAFIYYA SHABAZZ MD (NPI 1033147178) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD0428070) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and maintains a secondary practice location in East Norriton.

NPPES Registry Identity

NPI1033147178
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAFIYYA SHABAZZCredential: MD
Location Address22 E MOUNT AIRY AVEPhiladelphia, PA 19119
Mailing Address22 E Mount Airy AvePhiladelphia, PA 19119-1712 · (215) 924-2440
Phone(215) 924-2440
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2002
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 27, 20182 updates tracked since enumeration
✔ NPI 1033147178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD0428070
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.
22 E MOUNT AIRY AVE, Philadelphia, PA 19119
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Secondary Practice Location 1

Location 1400 E Germantown PikeEast Norriton, PA 19401-6506 · Phone (610) 994-0063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Safiyya Shabazz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335157742
PECOS Enrollment IDI20060329000619
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 Reassignment

Medicare enrollment records show Safiyya Shabazz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fountain Medical Associates P C
Same address
Family Medicine
22 E MOUNT AIRY AVE
Philadelphia, PA 19119
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1215257837 (215) 924-2440

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.
111 services46 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.
74 services43 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.
37 services37 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.
34 services34 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19119 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.

FOUNTAIN MEDICAL ASSOCIATES P C
Family Medicine
22 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119
Philadelphia County (215) 924-2440

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 Safiyya Shabazz's NPI number?

The NPI number for Safiyya Shabazz is 1033147178. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Safiyya Shabazz located?

Safiyya Shabazz practices at 22 E Mount Airy Ave, Philadelphia, PA 19119. The listed phone number is (215) 924-2440.

What is Safiyya Shabazz's specialty?

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

Is Safiyya Shabazz enrolled in Medicare?

Yes. Safiyya Shabazz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Safiyya Shabazz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Safiyya Shabazz reassigns Medicare benefits to Fountain Medical Associates P C (Philadelphia, PA). The 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 Safiyya Shabazz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Safiyya Shabazz affiliated with any hospitals?

According to CMS data, Safiyya Shabazz is affiliated with Temple Health - Chestnut Hill Hospital, Albert Einstein Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Safiyya Shabazz was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.