UMER SHOUKAT MD
NPI 1316394158
Internal Medicine in Wyomissing, PA
About Umer Shoukat Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UMER SHOUKAT MD (NPI 1316394158) is an individual internal medicine provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD467751) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Umer Shoukat Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Umer Shoukat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wyomissing, PA 19610
- Reassigned Medicare billing, Pennsylvania enrollment
- 20 clinicians in this Medicare group
Wyomissing, PA 19610
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPenn State Health St. Joseph
Acute Care Hospitals · Reading, PAPottstown Hospital
Acute Care Hospitals · Pottstown, PAPhoenixville Hospital
Acute Care Hospitals · Phoenixville, PAMilton S Hershey Medical Center
Acute Care Hospitals · Hershey, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Umer Shoukat's NPI number?
The NPI number for Umer Shoukat is 1316394158. It was assigned to this individual provider in the NPPES registry on May 23, 2016.
Where is Umer Shoukat located?
Umer Shoukat practices at 2608 Keiser Blvd, Wyomissing, PA 19610. The listed phone number is (610) 685-5864.
What is Umer Shoukat's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Umer Shoukat enrolled in Medicare?
Yes. Umer Shoukat 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 Umer Shoukat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Umer Shoukat reassigns Medicare benefits to 2 organizations: Respiratory Specialists Ltd (Wyomissing, PA) and Tower Health Medical Group (Wyomissing, 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 Umer Shoukat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Umer Shoukat accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Umer Shoukat 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 Umer Shoukat affiliated with any hospitals?
According to CMS data, Umer Shoukat is affiliated with Reading Hospital, Penn State Health St. Joseph, Pottstown Hospital, Phoenixville Hospital and Milton S Hershey Medical Center.
When was this NPI record last updated?
The NPPES record for Umer Shoukat was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Umer Shoukat, MD · NPI 1316394158
Internal Medicine physician in Wyomissing, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 23, 2016.
## Identity
- **NPI:** 1316394158 (Entity type: Individual)
- **Enumerated:** May 23, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD467751 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2608 KEISER BLVD, Wyomissing, PA 19610-3333
- **Phone:** (610) 685-5864 · **Fax:** (610) 929-1528
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Respiratory Specialists Ltd (NPI 1801816152, Wyomissing, PA); Tower Health Medical Group (NPI 1154468874, Wyomissing, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316394158) · Data from the CMS NPPES public registry.