ABBAS A. SHEHADEH MD, PA
NPI 1366550782
Internal Medicine - Interventional Cardiology in West Orange, NJ

Active since August 26, 2006
111 NORTHFIELD AVE, SUITE 304, WEST ORANGE, NJ 07052(973) 731-0203 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abbas A. Shehadeh Md, Pa NPPES

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

ABBAS A. SHEHADEH MD, PA (NPI 1366550782) is a healthcare organization registered as an interventional cardiology in West Orange, New Jersey and active in the NPI registry since August 2006. The organization lists Abbas Shehadeh, President, as its authorized official.

NPPES Registry Identity

NPI1366550782
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameABBAS A. SHEHADEH MD, PA
Location Address111 NORTHFIELD AVE, SUITE 304West Orange, NJ 07052-4795
Mailing Address111 Northfield Ave, Suite 304West Orange, NJ 07052-4795 · (973) 731-0203
Organization SubpartNo
Authorized OfficialAbbas ShehadehPresident · (973) 731-0203
Enumeration DateAugust 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366550782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
111 NORTHFIELD AVE, West Orange, NJ 07052

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abbas A. Shehadeh Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20051128000085Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Abbas A. Shehadeh MD, PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Cardiovascular Disease (Cardiology)
NPI 1215900774
443 NORTHFIELD AVENUE SUITE 301
West Orange, NJ 07052
(973) 731-0203
✔ PECOS✔ Accepts Medicare1.4 mi
Cardiovascular Disease (Cardiology)
NPI 1518262088
1340 CHARLES ST STE 300
Rockford, IL 61104
(779) 696-5888
✔ PECOS✔ Accepts Medicare775 mi

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

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 A. Shehadeh MD, PA's NPI number?

The NPI number for Abbas A. Shehadeh MD, PA is 1366550782. It was assigned to this organization in the NPPES registry on August 26, 2006.

Where is Abbas A. Shehadeh MD, PA located?

Abbas A. Shehadeh MD, PA is located at 111 Northfield Ave Suite 304, West Orange, NJ 07052. The listed phone number is (973) 731-0203.

What is Abbas A. Shehadeh MD, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Abbas A. Shehadeh MD, PA enrolled in Medicare?

Yes. Abbas A. Shehadeh MD, PA is registered in the Medicare PECOS enrollment system.

When is Abbas A. Shehadeh MD, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Abbas A. Shehadeh MD, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Cardiovascular Disease (Cardiology), reassign their Medicare billing to Abbas A. Shehadeh MD, PA. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Abbas A. Shehadeh MD, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.