Individual provider Active NPI

Shafic Y Twal, M.D.

  • Pediatrics Physician
  • Indiana, PA
National Provider Identifier
1104811819
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD020149E Issued in PA
Practice address
15 S 8TH St
Suite 200
Indiana, PA 15701-2776
Phone
(724) 463-0476
Fax
(724) 463-1196
NPI assigned
Sep 19, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD020149E PA Primary

Addresses

Primary practice location

15 S 8TH St
Suite 200
Indiana, PA 15701-2776

Mailing address

15 S 8TH St
Suite 200
Indiana, PA 15701-2776
Phone (724) 463-0476

Other identifiers 2

IdentifierTypeStateIssuer
848902OtherPAHIGHMARK
0006115170001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD020149EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Pediatric Associates, PC Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104811819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 8TH ST",
            "address_2": "SUITE 200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012776",
            "telephone_number": "724-463-0476",
            "fax_number": "724-463-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 8TH ST",
            "address_2": "SUITE 200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012776",
            "telephone_number": "724-463-0476",
            "fax_number": "724-463-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWAL",
        "first_name": "SHAFIC",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD020149E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "848902",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006115170001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.