Individual provider Active NPI

Mahim Shuja, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1396192787
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W7774 Issued in TX
Practice address
965 State Highway 211, Building 6
San Antonio, TX 78253
Phone
(210) 618-9084
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10056906 TX
Family Medicine Physician 207Q00000X MD468566 PA
Family Medicine Physician 207Q00000X W7774 TX Primary

Addresses

Primary practice location

965 State Highway 211, Building 6
San Antonio, TX 78253

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

1501 Lansdowne Ave Fl 1
Darby, PA 19023-1333
Phone (610) 534-6310

Other practice location 2

14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800

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
I20191107000324 PA Practitioner - Family Practice 1557793874 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10056906TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 8, 2024 Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Family Care Centers Inc. Family Medicine Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 8, 2024 Accepting new patients

Locations

2100 Mack Blvd
Fl 2
Allentown, PA 18103

1501 Lansdowne Ave
Fl 1
Darby, PA 19023
Phone (610) 237-2531

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

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

205 Applegate Rd
Stroudsburg, PA 18360
Phone (570) 476-3585

Interoperability endpoints

  • Direct secure messaging: mshuja3406706@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1396192787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 STATE HIGHWAY 211, BUILDING 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-618-9084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Lansdowne Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-534-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14351 Kutztown Rd",
            "address_purpose": "LOCATION",
            "city": "Fleetwood",
            "state": "PA",
            "postal_code": "195229273",
            "country_code": "US",
            "telephone_number": "610-944-8800",
            "fax_number": "610-944-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUJA",
        "first_name": "MAHIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10056906",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD468566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W7774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.