NPIMap

Individual provider Active NPI

Ihab Amine Dana, M.D.

  • Internal Medicine Physician
  • Montrose, PA
National Provider Identifier
1124009410
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD050331L Issued in PA
Practice address
100 Hospital Dr
Montrose, PA 18801
Phone
(570) 278-3801
Fax
(570) 278-4312
NPI assigned
Nov 14, 2005
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD050331L PA Primary

Addresses

Primary practice location

100 Hospital Dr
Montrose, PA 18801

Mailing address

100 Hospital Dr
Montrose, PA 18801
Phone (570) 278-3801

Other identifiers 1

IdentifierTypeStateIssuer
001423834001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000860 PA Practitioner - Internal Medicine 8628150364 Reassigns benefits to 1 organization
Practice locations: Montrose, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Hospital Dr
Montrose, PA 18801-6402
Phone (570) 278-3801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endless Mountains Health Systems Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ihab.dana@direct.emhsphys.hie.keyhie.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Endless Mountains Health Systems, Inc.Montrose, PA, CCN 391306 Hospital Corporate Officer
Corporate Director		 Jan 1, 2016
Jan 9, 1997
Endless Mountains Health Systems, Inc.Montrose, PA, CCN 39Z306 Hospital Corporate Director Jan 9, 1997

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1124009410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "18801",
            "telephone_number": "570-278-3801",
            "fax_number": "570-278-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "18801",
            "telephone_number": "570-278-3801",
            "fax_number": "570-278-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANA",
        "first_name": "IHAB",
        "middle_name": "AMINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD050331L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001423834001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, PA

Sources for this page

Verify at the official NPI Registry.