DR. SHAWN KHALIQ AHMAD CHAUSTRE MD
NPI 1356901193
Internal Medicine in Philadelphia, PA

Q: What is Shawn Ahmad Chaustre's NPI number?

The NPI number for Shawn Ahmad Chaustre is 1356901193. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Q: What is Shawn Ahmad Chaustre's specialty?

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

Active since June 14, 2019PECOS Enrolled

245 N 15TH ST FL 6, PHILADELPHIA, PA 19102(215) 762-7916 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Shawn Khaliq Ahmad Chaustre Md NPPES

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

DR. SHAWN KHALIQ AHMAD CHAUSTRE MD (NPI 1356901193) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT218306) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356901193

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHAWN KHALIQ AHMAD CHAUSTRECredential: MD

Location Address245 N 15TH ST FL 6Philadelphia, PA 19102-1198

Mailing Address8201 Henry Ave Apt H13Philadelphia, PA 19128-2207 · (732) 666-1980

Phone(215) 762-7916

Sole ProprietorNo

Enumeration DateJune 14, 2019

✔ NPI 1356901193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MT218306

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.

245 N 15TH ST FL 6, Philadelphia, PA 19102

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shawn Khaliq Ahmad Chaustre Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

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 20

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

SWATHI MADDULA M.D.

Internal Medicine