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ABBAS ALSHAMI MD
NPI 1336600378
Internal Medicine in Neptune, NJ

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment
1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 776-4483(732) 776-4798 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2026, Sep 25, 2022 (2 updates tracked since 2022).

About Abbas Alshami Md NPPES

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

ABBAS ALSHAMI MD (NPI 1336600378) is an individual internal medicine provider in Neptune, New Jersey, licensed in Massachusetts (1023177) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1336600378
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABBAS ALSHAMICredential: MD
Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859
Mailing AddressPo Box 24520New York, NY 10087-3720 · (781) 744-8085
Phone(732) 776-4483
Fax(732) 776-4798
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 30, 2019
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1336600378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 1023177✔ Licensed in NJ · 25MA11431700
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1945 STATE ROUTE 33, Neptune, NJ 07753
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Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-0001 · Phone (781) 744-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Abbas Alshami 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.

PECOS PAC ID5092182535
PECOS Enrollment IDI20260109001747
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

2

Medicare enrollment records show Abbas Alshami reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plover Inpatient Services LLC
42 mi
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group
NPI 1134534688 (954) 939-5000
Lahey Clinic, Inc.
217 mi
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group
NPI 1538194980 (781) 744-8000

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

Hospital Affiliations CMS Care Compare 2

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

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 20

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

MAULIK D SHAH DO
Internal Medicine (Gastroenterology)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2770
HANI NASER
Internal Medicine
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4483
KALIOPI MELLO
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
DR. EMILY NICOLE RIENZO MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4328
CHRISTINE BARONE D.O
Pediatrics (Neonatal-Perinatal Medicine)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4283
NIYOUSHA SADEGHPOUR MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
JUSTIN VAN NEST PA-C
Physician Assistant
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-2330
ZAINAB SHAHSAMAND MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-3712

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 Abbas Alshami's NPI number?

The NPI number for Abbas Alshami is 1336600378. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Abbas Alshami located?

Abbas Alshami practices at 1945 State Route 33, Neptune, NJ 07753. The listed phone number is (732) 776-4483.

What is Abbas Alshami's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abbas Alshami enrolled in Medicare?

Yes. Abbas Alshami 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 Abbas Alshami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abbas Alshami reassigns Medicare benefits to 2 organizations: Plover Inpatient Services LLC (Montclair, NJ) and Lahey Clinic, Inc. (Burlington, MA). 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 Abbas Alshami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abbas Alshami accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Abbas Alshami 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 Abbas Alshami affiliated with any hospitals?

According to CMS data, Abbas Alshami is affiliated with Tufts Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Abbas Alshami was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.