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

Individual provider Family Medicine Physician · NPI 1477073229

Dr. Samira Shahzeidi, MD is a Family Practice in Philadelphia, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Collins Physician Services, LLC, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
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

111 S 11th St
Philadelphia, PA 19107-4824
Phone: (215) 955-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 833 Chestnut St Ste 701, Philadelphia, PA 19107-4409 — (215) 955-6180

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD472106 (PA)

Record details

NPI number1477073229
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2017
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Collins Physician Services, Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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