NPIMap

Individual provider Active NPI

Amin Shazly

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1780024117
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS018410 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-3326
Fax
(215) 707-8028
NPI assigned
Jun 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS018410 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207001602 PA Practitioner - Anesthesiology 1658664735 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Pennsylvania LLCGroup PAC ID 5092941161, 65 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2000

1403 Rhawn St
Philadelphia, PA 19111-2803
Phone (215) 332-8100

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6000

420 S 5TH Ave
Anesthesiology Tower Health Medical Group
West Reading, PA 19611-2143
Phone (484) 628-8589

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.31 of 100Reported as group
Quality
55.01
Promoting interoperability
99
Improvement activities
40
Cost
76.86

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3057TNMDOptometrist
OS018410PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 22, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 22, 2025 Accepting new patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Mar 29, 2021 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Xenon Anesthesia of Pennsylvania PLLC Anesthesiology CurrentSince Jun 24, 2020 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Oct 16, 2017 Accepting new patients
Tower Health Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

1515 Market St
Ste 1200
Philadelphia, PA 19102
Phone (215) 259-8078

1403 Rhawn St
Philadelphia, PA 19111
Phone (215) 332-8100

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
  • Direct secure messaging: ashazly2173111@direct.trinity-health.org

Organizations & group practices 11

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 7

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": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1780024117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-3326",
            "fax_number": "215-707-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAZLY",
        "first_name": "AMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS018410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.