Abdul-Aziz Adewale Shittou, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MT225830 Issued in PA

Practice address

34 S Railroad St
Tamaqua, PA 18252-1927

Phone

(570) 645-0661

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1427797273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455670",
            "telephone_number": "484-526-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521927",
            "telephone_number": "570-645-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITTOU",
        "first_name": "ABDUL-AZIZ",
        "middle_name": "ADEWALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT225830",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT225830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Shahbaz, MD
• Daryoush Shahin, MD
• Joseph Edward Shamonsky, RN
• Shen Smiles
• Kile B Sherry, DMD
• Christine Marie Siegrist, PT
• Darlene Smith
• Kerri Lynn Smith, DPT
• Smnrc, LP (Hometown Nursing and Rehabilitation Center)
• Ashley Lyn Smolinsky, PT

• Family Medicine Physician in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.

Verify at the official NPI Registry.