Individual provider Active NPI

Mahvesh Shabbir, MD

  • Family Medicine Physician
  • Annville, PA
National Provider Identifier
1376237164
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD492577 Issued in PA
Practice address
1251 E Main St
Annville, PA 17003-1643
Phone
(717) 867-4671
Fax
(717) 867-4981
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD492577 PA Primary
Family Medicine Physician 207Q00000X MT228988 PA

Addresses

Primary practice location

1251 E Main St
Annville, PA 17003-1643

Mailing address

1251 E Main St
Annville, PA 17003-1643
Phone (717) 867-4671

Other practice location 1

200 Schuylkill Medical Plz
Pottsville, PA 17901-3660
Phone (570) 621-9270

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
I20230811002983 PA Order and Referring Only - Family PracticePractitioner - Family Practice 0446612154

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1376237164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Schuylkill Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013660",
            "country_code": "US",
            "telephone_number": "570-621-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABBIR",
        "first_name": "MAHVESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD492577",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT228988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annville, PA

Sources for this page

Verify at the official NPI Registry.