Individual provider Active NPI

Shaheen Timmapuri, MD

  • Pediatric Surgery Physician
  • Fountain Hill, PA
National Provider Identifier
1013182146
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD421653 Issued in PA
Practice address
701 Ostrum St Ste 102
Fountain Hill, PA 18015-1152
Phone
(484) 658-5437
Fax
(833) 679-4147
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MD421653 PA Primary

Addresses

Primary practice location

701 Ostrum St Ste 102
Fountain Hill, PA 18015-1152

Mailing address

701 Ostrum St Ste 102
Fountain Hill, PA 18015-1152
Phone (484) 658-5437

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
I20080821000489 PA Practitioner - General SurgeryPractitioner - Pediatric Medicine 3577638790 Reassigns benefits to 1 organization
I20160311001789 NJ Practitioner - Pediatric Medicine 3577638790 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD421653PAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty Pediatric Surgery CurrentSince Mar 1, 2016 Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Apple Drugs Inc Past Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

1872 St Lukes Blvd
#1
Easton, PA 18045

701 Ostrum St
Ste 102
Fountain Hill, PA 18015
Phone (484) 526-7575

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: shaheen.timmapuri@slpg.direct-sluhn.org
  • Direct secure messaging: stimmapuri18270@epicdirect.rwjbh.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1013182146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 102",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-658-5437",
            "fax_number": "833-679-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 102",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-658-5437",
            "fax_number": "833-679-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMAPURI",
        "first_name": "SHAHEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD421653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.