Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amin Shazly

Individual provider Anesthesiology Physician · NPI 1780024117

Amin Shazly is an Anesthesiology in Philadelphia, Pennsylvania. Graduated from Lincoln Memorial University Medical Department in 2012, 14 years ago. Practices with Northstar Anesthesia of Pennsylvania LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
Lincoln Memorial University Medical Department
Licensed in
PA
In the registry since
2013
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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3326
Fax: (215) 707-8028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence OS018410 (PA)

Record details

NPI number1780024117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2013
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2012 (14 years in practice)
Group practice Northstar Anesthesia Of Pennsylvania Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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