Individual provider Active NPI

Shagufta Ahsan, MD

  • Internal Medicine Physician
  • Plymouth Meeting, PA
National Provider Identifier
1003059866
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09653300 Issued in NJ
Practice address
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone
(570) 613-4943
NPI assigned
Apr 9, 2009
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD438045 PA
Internal Medicine Physician 207R00000X 25MA09653300 NJ Primary

Addresses

Primary practice location

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Mailing address

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110331000406 PA Practitioner - Internal Medicine 6901959576 Reassigns benefits to 9 organizations
I20160427001681 NJ Practitioner - Internal Medicine 6901959576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Geriatric's, Inc.Group PAC ID 4486551371, 102 clinicians
Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians
Main Line Medical Group LTDGroup PAC ID 9830003599, 9 clinicians

Practice addresses (Care Compare)

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

857 Montgomery Ave
Penn Valley, PA 19072-1541
Phone (610) 664-2951

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Pennsylvania PC Internal Medicine CurrentSince Mar 17, 2025 Accepting new patients
Ocean Health Initiatives Inc Current Accepting new patients
Suburban Geriatrics II PC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Mar 17, 2025 Accepting new patients
Ocean Health Initiatives,Inc CurrentSince Oct 12, 2023 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Oct 12, 2023 Accepting new patients
Violet Valley Long Term Care PC CurrentSince Mar 1, 2026 Accepting new patients
Inpatient Consultants of Pennsylvania PC Internal Medicine CurrentSince Mar 17, 2025 Accepting new patients
Suburban Geriatrics, Inc. Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
NJ Pacs 2 PA CurrentSince Mar 17, 2025 Accepting new patients
Main Line Medical Group LTD CurrentSince Jul 7, 2025 Accepting new patients
Sayre Health Center CurrentSince Sep 30, 2024 Accepting new patients
Project H.O.P.E., Inc. CurrentSince Aug 4, 2022 Accepting new patients
Integrated Family Medicine, LLC PastSince Dec 1, 2006 Accepting new patients
Apogee Medical Group, Louisiana, Inc. Past Accepting new patients

Locations

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

857 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 664-2951

2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705

5800 Walnut St
Rear
Philadelphia, PA 19139
Phone (215) 474-4444

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

2815 Byberry Rd
Uppr Moreland, PA 19040
Phone (215) 302-3748

8833 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 509-6826

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73304
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJCDD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1003059866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "570-613-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "SHAGUFTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD438045",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09653300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.