Shady Abdelbaki, M.D.
NPI 1003270414 · Rheumatology Physician · Pottstown, PA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Abdelbaki, M.D. is a Rheumatology Physician provider in Pottstown, PA (NPI 1003270414).
Provider details
- NPI number
- 1003270414
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C1-0024350 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
537 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 283 | $94 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 96 | $139 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 56 | $130 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 31 | $172 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 31 | $117 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 307 | 94 |
| Methotrexate Sodiumbrand: Methotrexate | 283 | 77 |
| Hydroxychloroquine Sulfate | 212 | 71 |
| Alendronate Sodium | 90 | 32 |
| Adalimumabbrand: Humira(cf) Pen | 68 | — |
| Leflunomide | 65 | 20 |
| Methylprednisolone | 60 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$173 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 501 W 14th StWilmington, DE 19801-1013Phone: (302) 320-2490Fax: (302) 623-4395
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Frequently asked questions
- What is Shady Abdelbaki's NPI number?
- Shady Abdelbaki's National Provider Identifier (NPI) is 1003270414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shady Abdelbaki's specialty?
- Shady Abdelbaki is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shady Abdelbaki located?
- Shady Abdelbaki's practice location on file with NPPES is 1566 Medical Dr Ste 104, Pottstown, PA 19464-3229.
- What is Shady Abdelbaki's phone number?
- The practice phone number listed in the NPPES registry for Shady Abdelbaki is (484) 945-0075.
- Does Shady Abdelbaki accept Medicare?
- Shady Abdelbaki is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shady Abdelbaki's NPI active?
- Yes — Shady Abdelbaki's NPI (1003270414) is active in the NPPES registry as of the last update on 2025-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.