Individual provider Active NPI

Boula Samy Shaker Gattas, MD

  • Hospitalist Physician
  • Langhorne, PA
National Provider Identifier
1265010557
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD485149 Issued in PA
Practice address
1203 Langhorne Newtown Rd Ste 226
Langhorne, PA 19047-1224
Phone
(215) 710-4460
Fax
(215) 710-4465
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 MD485149 PA
Hospitalist Physician 208M00000X MD485149 PA Primary

Addresses

Primary practice location

1203 Langhorne Newtown Rd Ste 226
Langhorne, PA 19047-1224

Mailing address

41 University Dr Ste 300
Newtown, PA 18940-1873

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611001639 PA Practitioner - Hospitalist 5294277869 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

111 S 11TH St
Philadelphia, PA 19107-4824

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2000

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485149PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 22, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jun 5, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Aria Health Physicain Services CurrentSince Jul 1, 2024 Accepting new patients
Aria Health Physician Services CurrentSince Jul 1, 2024 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Jefferson University Physicians Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jun 5, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 22, 2025 Accepting new patients
Galen Inpatient Physicians PC Hospitalist Current Accepting new patients
Jefferson Health - Northeast Past Accepting new patients
St Mary Medical Center Past Accepting new patients

Locations

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Interoperability endpoints

  • Direct secure messaging: bgattas2015340@direct.trinity-health.org

Organizations & group practices 12

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 2

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1265010557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD STE 226",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471224",
            "telephone_number": "215-710-4460",
            "fax_number": "215-710-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTAS",
        "first_name": "BOULA",
        "middle_name": "SAMY SHAKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD485149",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD485149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.