Active NPI
Omar Al Janabi, MD
- Student in an Organized Health Care Education/Training Program
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 111 S Front St
Harrisburg, PA 17101-2010 - Phone
- (717) 231-8755
- NPI assigned
- Feb 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Internal Medicine Physician | 207R00000X | MD470661 | PA | |
| Hospitalist Physician | 208M00000X | MD470661 | PA |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101-2010
Mailing address
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Other practice location 1
169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 721-4740
Other practice location 2
252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone (717) 270-4876
Other practice location 3
2160 State Rd
Lancaster, PA 17601-1812
Phone (223) 287-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103784613 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD470661 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients |
Locations
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222
252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Emergency Medicine Physician
- Carlisle, PA
- NPI 1528714995
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1225577018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVE STE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-231-8755"
}
],
"practiceLocations": [
{
"address_1": "169 Martin Ave",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221724",
"country_code": "US",
"telephone_number": "717-721-4740",
"fax_number": "717-738-6872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St Fl 2",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-4876",
"fax_number": "717-270-3875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 State Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176011812",
"country_code": "US",
"telephone_number": "223-287-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL JANABI",
"first_name": "OMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-14",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD470661",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD470661",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103784613",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.