DR. SHUJAYAT ALI M.D.
NPI 1043591308
Pediatrics in Center Valley, PA

Active since August 31, 2011PECOS Enrolled
3800 SIERRA CIR, SUITE 100, CENTER VALLEY, PA 18034(484) 664-2090(484) 664-2089 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2024, May 3, 2024 (2 updates tracked since 2024).

About Dr. Shujayat Ali M.d. NPPES

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

DR. SHUJAYAT ALI M.D. (NPI 1043591308) is an individual pediatrics provider in Center Valley, Pennsylvania, licensed in Pennsylvania (MD452220) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043591308
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHUJAYAT ALICredential: M.D.
Location Address3800 SIERRA CIR, SUITE 100Center Valley, PA 18034-8476
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(484) 664-2089
Sole ProprietorNo
Enumeration DateAugust 31, 2011
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1043591308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD452220
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD452220 (PA)
3800 SIERRA CIR, Center Valley, PA 18034

Other Identifiers 2

Medicaid0509698NJ
Medicaid1092489720001PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shujayat Ali M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

6

Medicare enrollment records show Shujayat Ali reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3800 SIERRA CIR, SUITE 115
Center Valley, PA 18034
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Internal Medicine
321 N FURNACE ST STE 100
Birdsboro, PA 19508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
Emergency Medicine
1201 LANGHORNE-NEWTON ROAD
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
  • 329 clinicians in this Medicare group
Emergency Medicine
1201 LANGHORNE NEWTOWN RD
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 107 clinicians in this Medicare group
Internal Medicine
700 EAST BROAD STREET
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 305 clinicians in this Medicare group
Emergency Medicine
300 HIGHLAND AVE
Hanover, PA 17331
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 298 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18034 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 11

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

Nurse Practitioner (Psychiatric/Mental Health)
3800 SIERRA CIR
CENTER VALLEY, PA 18034
Internal Medicine
3800 SIERRA CIR
CENTER VALLEY, PA 18034
Internal Medicine
3800 SIERRA CIR, SUITE 115
CENTER VALLEY, PA 18034
Hospitalist
3800 SIERRA CIR, SUITE 115
CENTER VALLEY, PA 18034
Pediatrics
3800 SIERRA CIR, SUITE 100
CENTER VALLEY, PA 18034
Pediatrics
3800 SIERRA CIR, SUITE 100
CENTER VALLEY, PA 18034
Pediatrics
3800 SIERRA CIR, SUITE 100
CENTER VALLEY, PA 18034
Internal Medicine
3800 SIERRA CIR, SUITE 115
CENTER VALLEY, PA 18034

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 Shujayat Ali's NPI number?

The NPI number for Shujayat Ali is 1043591308. It was assigned to this individual provider in the NPPES registry on August 31, 2011.

Where is Shujayat Ali located?

Shujayat Ali practices at 3800 Sierra Cir Suite 100, Center Valley, PA 18034. The listed phone number is (484) 664-2090.

What is Shujayat Ali's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shujayat Ali enrolled in Medicare?

Yes. Shujayat Ali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shujayat Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shujayat Ali reassigns Medicare benefits to 6 organizations: Lehigh Valley Physician Group (Center Valley, PA), Tower Health Medical Group (Birdsboro, PA), Emergency Care Services Of Pennsylvania, P.C. (Langhorne, PA), Cep America LLC (Langhorne, PA), Hazleton Professional Services (Hazleton, PA) and 1 more organization, listed in the Medicare section above. 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 Shujayat Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shujayat Ali accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shujayat Ali 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.

When was this NPI record last updated?

The NPPES record for Shujayat Ali was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.