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

Basil Isam Shahin, MD

Individual provider Internal Medicine Physician · NPI 1851951982

Basil Isam Shahin, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Elliot Professional Services, a 424-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri, New Jersey and Pennsylvania.

Years since qualifying
7
Licensed in
MO, NJ, PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 — (856) 513-4124

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA11819300 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2022028832 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT219012 (PA)

Record details

NPI number1851951982
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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