Active NPI
Mohammed Ibrahim Shakhatreh, M.D
- Gastroenterology Physician
- Atlantic City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA10215000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 314288 | NY | |
| Gastroenterology Physician | 207RG0100X | MD462390 | PA | |
| Gastroenterology Physician | 207RG0100X | 25MA10215000 | NJ | Primary |
| Hospitalist Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404357201 | Medicaid | TX | |
| H08LV56001 | Other | TX | BCBS-TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, PA, NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 199 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 485 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207078 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Gastroenterology | Current | Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Multi-Specialty | Current | Accepting new patients |
| Hospitalist Physicians of New Jersey PA | Multi-Specialty | Current | Accepting new patients |
| Aria Health Physician Services | Multi-Specialty | Current | Accepting new patients |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Multi-Specialty | Current | Accepting new patients |
| Ipc Hospitalist Physicians of New Jersey PC | Multi-Specialty | Current | Accepting new patients |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Aria Health Physician Services | Multi-Specialty | Current | Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Multi-Specialty | Current | Accepting new patients |
| Ipc Hospitalist Physicians of New Jersey PC | Multi-Specialty | Current | 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 | Current | 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
- 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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
Multi-Specialty
-
- Hospitalist Physician
- Edison, NJ
- NPI 1588021851
Multi-Specialty
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1639303159
Multi-Specialty
-
- Hematology & Oncology Physician
- Phillipsburg, NJ
- NPI 1467725184
Multi-Specialty
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Multi-Specialty
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Multi-Specialty
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
Multi-Specialty
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
- Internal Medicine Physician
- Vineland, NJ
- NPI 1013141423
Multi-Specialty
-
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
Multi-Specialty
-
- Neurology Physician
- Phillipsburg, NJ
- NPI 1841563574
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.