Individual provider Active NPI

Mohammed Ibrahim Shakhatreh, M.D

  • Gastroenterology Physician
  • Atlantic City, NJ
National Provider Identifier
1811278088
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA10215000 Issued in NJ
Practice address
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone
(609) 652-1000
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 314288 NY
Gastroenterology Physician 207RG0100X MD462390 PA
Gastroenterology Physician 207RG0100X 25MA10215000 NJ Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X R1291 TX
Internal Medicine Physician 207R00000X MD.207078 LA

Addresses

Primary practice location

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000

Other practice location 1

2000 Grant Ave Ste 103
Philadelphia, PA 19115-4378
Phone (215) 992-6002

Other practice location 2

2351 E 22nd St
department of medicine
Cleveland, OH 44115-3111
Phone (216) 363-2592

Other practice location 3

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000

Other identifiers 2

IdentifierTypeStateIssuer
404357201MedicaidTX
H08LV56001OtherTXBCBS-TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, PA, NJ, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20141013000836 LA Practitioner - Internal Medicine 9234359365
I20180305000774 PA Practitioner - Internal Medicine 9234359365 Reassigns benefits to 3 organizations
I20181129001749 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 9234359365 Reassigns benefits to 4 organizations
I20191125001093 TX Practitioner - HospitalistPractitioner - Internal Medicine 9234359365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

2000 Grant Ave
Suite 103
Philadelphia, PA 19115-4378
Phone (215) 333-1776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy199
Upper gastrointestinal (GI) endoscopy for acid reflux485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207078LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services Gastroenterology CurrentSince May 1, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC Multi-Specialty CurrentSince Feb 27, 2019 Accepting new patients
Hospitalist Physicians of New Jersey PA Multi-Specialty CurrentSince Dec 1, 2019 Accepting new patients
Aria Health Physician Services Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Mar 1, 2018 Accepting new patients
Cogent Healthcare of Texas, PA Multi-Specialty CurrentSince Dec 1, 2019 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Multi-Specialty CurrentSince Dec 10, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Aria Health Physician Services Multi-Specialty Current Accepting new patients
St. Luke'S Warren Physician Group, PC Multi-Specialty CurrentSince Feb 27, 2019 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Multi-Specialty CurrentSince Dec 10, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Multi-Specialty Current Accepting new patients
St. Luke'S Warren Physician Group, PC Multi-Specialty Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Multi-Specialty CurrentSince Dec 1, 2019 Accepting new patients
Aria Health Physician Services Multi-Specialty Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

151 Madison Ave
Morristown, NJ 07960
Phone (973) 565-2700

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

1 Cornerstone Dr
Ste 300
Langhorne, PA 19047
Phone (215) 891-9400

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

2000 Grant Ave
Ste 103
Philadelphia, PA 19115
Phone (215) 333-1776

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: mohammedshakhatreh@nslijmedgr.allscriptsdirect.net

Organizations & group practices 18

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.

View all 18

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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1811278088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PACIFIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016713",
            "telephone_number": "609-652-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Grant Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191154378",
            "country_code": "US",
            "telephone_number": "215-992-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 E 22nd St",
            "address_2": "department of medicine",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153111",
            "country_code": "US",
            "telephone_number": "216-363-2592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKHATREH",
        "first_name": "MOHAMMED",
        "middle_name": "IBRAHIM",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "314288",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD462390",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA10215000",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R1291",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404357201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TEXAS",
            "identifier": "H08LV56001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.