NPIMap

Individual provider Active NPI

Shady Abdelbaki, M.D.

  • Rheumatology Physician
  • Collegeville, PA
National Provider Identifier
1003270414
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD491312 Issued in PA
Practice address
409 Second Ave Ste 100
Collegeville, PA 19426-3625
Phone
(484) 285-5216
Fax
(484) 328-6655
NPI assigned
Apr 12, 2016
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 MD491312 PA
Rheumatology Physician 207RR0500X MD491312 PA Primary

Addresses

Primary practice location

409 Second Ave Ste 100
Collegeville, PA 19426-3625

Mailing address

130 W Main St Ste 144
PMB 102
Trappe, PA 19426-2054
Phone (484) 285-5216

Other practice location 1

1566 Medical Dr Ste 104
Pottstown, PA 19464-3229
Phone (484) 945-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210809000081 DE Practitioner - RheumatologyPractitioner - Internal Medicine 1658625876 Reassigns benefits to 1 organization
I20251031001537 PA Practitioner - Rheumatology 1658625876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1566 Medical Dr
Suite 104
Pottstown, PA 19464-3229
Phone (484) 945-0075

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

501 W 14TH St Wilmington Hospital
CCHS Rheumatology
Wilmington, DE 19801-1013
Phone (302) 320-2490

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Medical Specialists, Inc CurrentSince Sep 15, 2025 Accepting new patients
Pottstown Medical Specialists, Inc Internal Medicine CurrentSince Sep 15, 2025 Accepting new patients
Christiana Care Health Services Inc. Rheumatology CurrentSince Jul 26, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 26, 2021 Accepting new patients
Pmsi Division of Rheumatology Rheumatology Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 2201
Newark, DE 19713
Phone (302) 320-2490

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
#5
Wilmington, DE 19801
Phone (302) 320-2490

1566 Medical Dr
Ste 104
Pottstown, PA 19464
Phone (484) 945-0075

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1003270414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST STE 144",
            "address_2": "PMB 102",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194262054",
            "telephone_number": "484-285-5216",
            "fax_number": "484-328-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SECOND AVE STE 100",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263625",
            "telephone_number": "484-285-5216",
            "fax_number": "484-328-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1566 Medical Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194643229",
            "country_code": "US",
            "telephone_number": "484-945-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELBAKI",
        "first_name": "SHADY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD491312",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD491312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.