Individual provider Active NPI

Botros Shenoda, M.D. PHD, MSC

  • Internal Medicine Physician
  • Abington, PA
National Provider Identifier
1346778099
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD470506 Issued in PA
Practice address
Abington Plaza Medical Associates
1235 Old York Road Suite 113
Abington, PA 19001
Phone
(215) 491-5057
Fax
(215) 491-5607
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD470506 PA Primary

Addresses

Primary practice location

Abington Plaza Medical Associates
1235 Old York Road Suite 113
Abington, PA 19001

Mailing address

Abington Plaza Medical Associates
1235 Old York Road Suite 113
Abington, PA 19001
Phone (215) 491-5057

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
I20201118001845 PA Practitioner - Internal Medicine 3678817988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2863

721 Arbor Way
Blue Bell, PA 19422-1974

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD470506PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc Internal Medicine CurrentSince Dec 15, 2024 Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1200 York Rd
Ofc
Abington, PA 19001
Phone (215) 481-2494

1235 Old York Rd
Ste 113
Abington, PA 19001
Phone (215) 481-6180

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

1380 Easton Rd
Warrington, PA 18976
Phone (215) 491-5057

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1346778099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ABINGTON PLAZA MEDICAL ASSOCIATES",
            "address_2": "1235 OLD YORK ROAD SUITE 113",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-491-5057",
            "fax_number": "215-491-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ABINGTON PLAZA MEDICAL ASSOCIATES",
            "address_2": "1235 OLD YORK ROAD SUITE 113",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-491-5057",
            "fax_number": "215-491-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENODA",
        "first_name": "BOTROS",
        "name_prefix": "Dr.",
        "credential": "M.D. PHD, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD470506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.