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AHMED ABDELHALIM SHEHATA MD
NPI 1497717516
Internal Medicine - Gastroenterology in Cherry Hill, NJ

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1939 E ROUTE 70, SUITE 250, CHERRY HILL, NJ 08003(856) 429-4433(856) 424-6732 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ahmed Abdelhalim Shehata Md NPPES

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

AHMED ABDELHALIM SHEHATA MD (NPI 1497717516) is an individual gastroenterology provider in Cherry Hill, New Jersey, licensed in New Jersey (25MA07221900) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1497717516
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameAHMED ABDELHALIM SHEHATACredential: MD
Location Address1939 E ROUTE 70, SUITE 250Cherry Hill, NJ 08003-4507
Mailing Address1939 E Route 70, Suite 250Cherry Hill, NJ 08003-4507 · (856) 429-4433 · Fax (856) 424-6732
Phone(856) 429-4433
Fax(856) 424-6732
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateApril 4, 2006
Last NPPES UpdateFebruary 7, 2020
✔ NPI 1497717516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA07221900
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1939 E ROUTE 70, Cherry Hill, NJ 08003
Open in Google Maps ↗

Other Identifiers 16

Other2135954NJ · United Healthcare
Other2590604NJ · Ghi
Other01000622300NJ · Americhoice
Other3072924NJ · Aetna
Other1167311NJ · Horizon Mercy
Other222083813NJ · Blue Shield
Other2K7156NJ · Phs/healthnet
Other100016737NJ · Medicare Railroad
Other1459125PA · Blue Shield
OtherP3276244NJ · Oxford
Medicaid9013202NJ
Other2144160000NJ · Amerihealth
Other2144160000NJ · Keystone
Other2224408NJ · First Health
Other1149835002NJ · Cigna
Other194704NJ · Amerigroup

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ahmed Abdelhalim Shehata 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 ID7315909256
PECOS Enrollment IDI20041102000785
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
894 services566 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
507 services451 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
329 services315 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
295 services287 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
113 services108 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
111 services111 patients

Hospital Affiliations CMS Care Compare 5

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08003 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost32.81

Reported Quality Measures

Advance Care Plan
100%895 patients5/55-star benchmark: 100%
Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%910 patients
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
100%470 patients
Documentation of Current Medications in the Medical Record
100%2,850 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%2,080 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%2,570 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

WARREN WERBITT DO, MD
Internal Medicine (Gastroenterology)
1939 E ROUTE 70, SUITE 250
CHERRY HILL, NJ 08003
Camden County (856) 429-4433
PROFESSIONAL GASTROENTEROLOGY ASSOCIATES PA
Internal Medicine (Gastroenterology)
1939 E ROUTE 70, SUITE 250
CHERRY HILL, NJ 08003
Camden County (856) 429-4433

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 Ahmed Shehata's NPI number?

The NPI number for Ahmed Shehata is 1497717516. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Ahmed Shehata located?

Ahmed Shehata practices at 1939 E Route 70 Suite 250, Cherry Hill, NJ 08003. The listed phone number is (856) 429-4433.

What is Ahmed Shehata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ahmed Shehata enrolled in Medicare?

Yes. Ahmed Shehata 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.

What insurance does Ahmed Shehata accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ahmed Shehata 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 Ahmed Shehata affiliated with any hospitals?

According to CMS data, Ahmed Shehata is affiliated with Cooper University Hospital, West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Inspira Medical Center Mullica Hill and Jefferson Stratford Hospital.

When was this NPI record last updated?

The NPPES record for Ahmed Shehata was last updated on February 7, 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.