Individual provider Active NPI

Sabahath Huma Jaleel, MD

  • Rheumatology Physician
  • Pottstown, PA
National Provider Identifier
1144674847
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD475746 Issued in PA
Practice address
1566 Medical Dr Ste 104
Pottstown, PA 19464-3229
Phone
(484) 945-0075
Fax
(484) 945-0781
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X MD475746 PA Primary
Hospitalist Physician 208M00000X 25MA10391800 NJ

Addresses

Primary practice location

1566 Medical Dr Ste 104
Pottstown, PA 19464-3229

Mailing address

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 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
I20211124000803 PA Practitioner - RheumatologyPractitioner - Internal Medicine 6901143957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10391800NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pmsi Collegeville Family Practice Single Specialty CurrentSince Nov 10, 2022 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: sabahathjaleel@pmsi.allscriptsdirect.net

Organizations & group practices 2

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

Hospital & facility affiliations 10

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1144674847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 MEDICAL DR STE 104",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643229",
            "telephone_number": "484-945-0075",
            "fax_number": "484-945-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 MEDICAL DR STE 104",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643229",
            "telephone_number": "484-945-0075",
            "fax_number": "484-945-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALEEL",
        "first_name": "SABAHATH",
        "middle_name": "HUMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD475746",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA10391800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.