Individual provider Active NPI

Nadine Raafat Shabti, MD

  • Internal Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1770163206
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0103171 Issued in MD
Practice address
5 Park Center CT
Owings Mills, MD 21117-4201
Phone
(667) 214-1515
Fax
(410) 328-8326
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 331269 NY
Internal Medicine Physician 207R00000X D0103171 MD Primary

Addresses

Primary practice location

5 Park Center CT
Owings Mills, MD 21117-4201

Mailing address

104 Delancey St
New York, NY 10002-3202
Phone (212) 677-2157

Other practice location 1

419 W Redwood St
Baltimore, MD 21201-1734
Phone (667) 214-1515

Other practice location 2

104 Delancey St
New York, NY 10002-3202
Phone (212) 677-2157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241023003260 NY Practitioner - Internal Medicine 4981137379 Reassigns benefits to 1 organization
I20250613000561 MD Practitioner - Internal Medicine 4981137379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Practice addresses (Care Compare)

419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-5196

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331269NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. CurrentSince Jul 28, 2025 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2024 Accepting new patients
University of Maryland Physicians, P.a. Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients

Locations

419 W Redwood St
Bldg Gim
Baltimore, MD 21201
Phone (410) 328-5196

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

5 Park Center Ct
Owings Mills, MD 21117
Phone (410) 654-0400

5 Park Center Ct
Ste 201
Owings Mills, MD 21117
Phone (410) 363-4900

104 Delancey St
New York, NY 10002
Phone (212) 533-5090

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

150 E 42nd St
Fl 2E492E29
New York, NY 10017

Interoperability endpoints

  • Direct secure messaging: nshabti1277668@direct.umm.edu

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.

Hospital & facility affiliations 1

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1770163206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DELANCEY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023202",
            "telephone_number": "212-677-2157",
            "fax_number": "212-982-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174201",
            "telephone_number": "667-214-1515",
            "fax_number": "410-328-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W Redwood St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011734",
            "country_code": "US",
            "telephone_number": "667-214-1515",
            "fax_number": "410-328-8326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Delancey St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100023202",
            "country_code": "US",
            "telephone_number": "212-677-2157",
            "fax_number": "212-982-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABTI",
        "first_name": "NADINE",
        "middle_name": "RAAFAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "331269",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0103171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.