Molham Abdulsamad, M.D.
Individual provider Active NPI Gastroenterology Physician · Port Matilda, PA
NPI 1174836712 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1174836712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MD461851 (PA)
- Practice address
- 132 Abigail LN
Port Matilda, PA 16870-7153 - Phone
- (814) 272-7100
- NPI assigned
- Jul 25, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 35
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211
Hospital & facility affiliations
- Geisinger-Lewistown Hospital
- Geisinger Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 88 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 251 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170817000219 | PA | Practitioner - Gastroenterology | 0345512976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD461851 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Cancer Center of Lewisburg | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473
310 Electric Ave
Ste 150
Lewistown, PA 17044
Phone (717) 242-2531
310 Electric Ave
Ste 100
Lewistown, PA 17044
Phone (717) 242-2531
310 Electric Ave
Ste 240
Lewistown, PA 17044
Phone (717) 242-8124
132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011
Interoperability endpoints
- mabdulsamad150274@direct.geisinger.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | MD461851 | PA | Yes |
Addresses
Primary practice location
132 Abigail LN
Port Matilda, PA 16870-7153
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other practice location 1
1650 Grand Concourse
Bronx Lebanon Hospital Center
Bronx, NY 10457-7606
Phone (718) 960-1234
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mabdulsamad150274@direct.geisinger.edu | Direct |
Other providers in Port Matilda, PA
- Adoriwear, LLC
- Thomas D. Amankonah
- Amplified Speech LLC
- Lynn Anderson
- Anesthesia Associates of Central PA
All providers in Port Matilda, PA · Gastroenterology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.