NPIMap

Individual provider Active NPI

Ahmad Wardeh, MD

  • Internal Medicine Physician
  • Ranshaw, PA
National Provider Identifier
1255309779
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD068460L Issued in PA
Practice address
7 Anthra Plaza Ctr
Ranshaw, PA 17866-4199
Phone
(570) 644-0988
Fax
(570) 644-0945
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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 MD068460L PA Primary

Addresses

Primary practice location

7 Anthra Plaza Ctr
Ranshaw, PA 17866-4199

Mailing address

7 Anthra Plaza Ctr
Ranshaw, PA 17866-4199
Phone (570) 644-0988

Other identifiers 1

IdentifierTypeStateIssuer
0017615910005MedicaidPA

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
I20060927000362 PA Practitioner - Internal Medicine 4587669445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Wardeh Agha Medical Center LLCGroup PAC ID 8527105931, 2 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

4200 Hospital Rd
Coal Township, PA 17866-9668
Phone (570) 644-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.69 of 100Reported as apm
Quality
85.57
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD068460LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wardeh Agha Medical Center LLC Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Mount Carmel Opco LLC Past Accepting new patients
Ahmad Wardeh, MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Geisinger Medical Center Past Accepting new patients

Locations

4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200

7 Anthra Plaza Ctr
#61
Ranshaw, PA 17866
Phone (570) 644-0988

7 Anthra Plaza Ctr
Ranshaw, PA 17866
Phone (570) 644-0988

Interoperability endpoints

  • Direct secure messaging: ahmad.wardeh@574580928610308.direct.elationemr.com

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.

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1255309779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ANTHRA PLAZA CTR",
            "city": "RANSHAW",
            "state": "PA",
            "postal_code": "178664199",
            "telephone_number": "570-644-0988",
            "fax_number": "570-644-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ANTHRA PLAZA CTR",
            "city": "RANSHAW",
            "state": "PA",
            "postal_code": "178664199",
            "telephone_number": "570-644-0988",
            "fax_number": "570-644-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEH",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD068460L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017615910005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranshaw, PA

Sources for this page

Verify at the official NPI Registry.