Active NPI
Mahim Shuja, M.D.
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- W7774
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10056906 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Family Care Centers Inc. | Family Medicine | Current | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Current | 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
- 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.
-
dba Lehigh Valley Physician Group - Pocono
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
Family Medicine
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
dba LVPG ExpressCare Pocono
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1316409626
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
dba Mercy Management of Southeastern Pennsylvania
- Anatomic Pathology & Clinical Pathology Physician
- Darby, PA
- NPI 1972029254
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.