Individual provider Active NPI

Sabeena Shafi Fazili, M.D

  • Family Medicine Physician
  • Norristown, PA
National Provider Identifier
1013159623
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD434913 Issued in PA
Practice address
703 Dekalb St
Norristown, PA 19401-3945
Phone
(610) 619-8024
NPI assigned
Mar 27, 2009
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD434913 PA Primary
Hospitalist Physician 208M00000X MD434913 PA

Addresses

Primary practice location

703 Dekalb St
Norristown, PA 19401-3945

Mailing address

PO Box 746722
Atlanta, GA 30374-6722

Other practice location 1

1068 W Baltimore Pike
Media, PA 19063-5104
Phone (610) 566-9400

Other practice location 2

2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (215) 444-7471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101221001102 PA Practitioner - Family PracticePractitioner - Hospitalist 7810185568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (312) 600-8484

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 Feb 26, 2024 Accepting new patients
Pottstown Medical Specialists, Inc Family Medicine CurrentSince Feb 26, 2024 Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Osh - PA Physicians Group, PC Family Medicine CurrentSince Jun 23, 2025 Accepting new patients

Locations

555 Second Ave
Ste 300
Collegeville, PA 19426
Phone (610) 454-7750

193 Old Swede Rd
Douglassville, PA 19518
Phone (610) 385-3010

703 DeKalb St
Norristown, PA 19401
Phone (610) 619-8024

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

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

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

2401 W Cheltenham Ave
Wyncote, PA 19095
Phone (215) 360-3038

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

Interoperability endpoints

  • Direct secure messaging: sabeena.fazili.1@18824.direct.athenahealth.com
  • Direct secure messaging: sabeenafazili@pmsi.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1013159623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 DEKALB ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013945",
            "telephone_number": "610-619-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635104",
            "country_code": "US",
            "telephone_number": "610-566-9400",
            "fax_number": "610-627-4230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W Cheltenham Ave",
            "address_purpose": "LOCATION",
            "city": "Wyncote",
            "state": "PA",
            "postal_code": "190952946",
            "country_code": "US",
            "telephone_number": "215-444-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZILI",
        "first_name": "SABEENA",
        "middle_name": "SHAFI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD434913",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD434913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.