Individual provider Active NPI

Mahmoud M Shalaby, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1952929804
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD491934 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-4000
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD491934 PA Primary
Diagnostic Radiology Physician 2085R0202X C1-0028374 DE

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

225 Scottdale Rd Apt A304
Lansdowne, PA 19050-2340
Phone (201) 736-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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
I20251008002253 DE Practitioner - Diagnostic Radiology 0547767204 Reassigns benefits to 1 organization
I20251008003318 PA Practitioner - Diagnostic Radiology 0547767204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians

Practice addresses (Care Compare)

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4814

701 N Clayton St
Wilmington, DE 19805-3165
Phone (610) 237-4814

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
  • Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients
Retina Labs USA, Inc. PastSince May 23, 2026 Accepting new patients

Locations

2002 Foulk Rd
Wilmington, DE 19810
Phone (302) 334-0330

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

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

1059 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-6320

Interoperability endpoints

  • Direct secure messaging: mshalaby2016076@direct.trinity-health.org

Organizations & group practices 2

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 2

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1952929804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SCOTTDALE RD APT A304",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502340",
            "telephone_number": "201-736-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALABY",
        "first_name": "MAHMOUD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD491934",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0028374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.