ABDEL HAMID ABD EL SHAFY
NPI 1972917821
Internal Medicine in Brooklyn, NY
About Abdel Hamid Abd El Shafy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABDEL HAMID ABD EL SHAFY (NPI 1972917821) is an individual internal medicine provider in Brooklyn, New York, licensed in Maryland (D84035) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Trenton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Abdel Hamid Abd El Shafy 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
4Medicare enrollment records show Abdel Hamid Abd El Shafy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montclair, NJ 07042
- Reassigned Medicare billing, New Jersey enrollment
- 252 clinicians in this Medicare group
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 600 clinicians in this Medicare group
Yardley, PA 19067
- Reassigned Medicare billing, Pennsylvania enrollment
- 646 clinicians in this Medicare group
Somerset, PA 15501
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
- 274 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Langhorne, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Abdel Hamid Abd El Shafy's NPI number?
The NPI number for Abdel Hamid Abd El Shafy is 1972917821. It was assigned to this individual provider in the NPPES registry on June 19, 2014.
Where is Abdel Hamid Abd El Shafy located?
Abdel Hamid Abd El Shafy practices at 6905 18th Ave Fl 2, Brooklyn, NY 11204. The listed phone number is (951) 818-0280.
What is Abdel Hamid Abd El Shafy's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Abdel Hamid Abd El Shafy enrolled in Medicare?
Yes. Abdel Hamid Abd El Shafy 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 Abdel Hamid Abd El Shafy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abdel Hamid Abd El Shafy reassigns Medicare benefits to 4 organizations: Plover Inpatient Services LLC (Montclair, NJ), Capital Health Multispecialty Group (Trenton, NJ), Trinity Health Mid-Atlantic Medical Group (Yardley, PA) and Hospitalist Medicine Physicians Of Pennsylvania, P.C. (Somerset, 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 Abdel Hamid Abd El Shafy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abdel Hamid Abd El Shafy accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Abdel Hamid Abd El Shafy 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 Abdel Hamid Abd El Shafy affiliated with any hospitals?
According to CMS data, Abdel Hamid Abd El Shafy is affiliated with St Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Abdel Hamid Abd El Shafy was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Abdel Hamid Abd El Shafy · NPI 1972917821
Internal Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 19, 2014.
## Identity
- **NPI:** 1972917821 (Entity type: Individual)
- **Enumerated:** June 19, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D84035 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6905 18TH AVE FL 2, Brooklyn, NY 11204
- **Phone:** (951) 818-0280
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Plover Inpatient Services LLC (NPI 1134534688, Montclair, NJ); Capital Health Multispecialty Group (NPI 1083072342, Trenton, NJ); Trinity Health Mid-Atlantic Medical Group (NPI 1639974645, Yardley, PA); Hospitalist Medicine Physicians Of Pennsylvania, P.C. (NPI 1639464308, Somerset, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972917821) · Data from the CMS NPPES public registry.