NPIMap

Individual provider Active NPI

Mohammad Ishaq Arastu, M.D.,

  • Specialist
  • Bethlehem, PA
National Provider Identifier
1285604488
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
019277-E Issued in PA
Practice address
5325 Northgate Dr
208
Bethlehem, PA 18017-9411
Phone
(610) 865-6044
Fax
(610) 865-6383
NPI assigned
Jan 23, 2006
Last updated
Mar 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 019277-E PA Primary

Addresses

Primary practice location

5325 Northgate Dr
208
Bethlehem, PA 18017-9411

Mailing address

5325 Northgate Dr
208
Bethlehem, PA 18017-9411
Phone (610) 865-6044

Other identifiers 1

IdentifierTypeStateIssuer
1011107MedicaidPA

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
I20110406000100 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 2264616861 Practice locations: Bethlehem, PA

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5325 Northgate Dr
Suite 208
Bethlehem, PA 18017-9416
Phone (610) 865-6044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.93 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.42

National Provider Directory

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1285604488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR",
            "address_2": "208",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179411",
            "telephone_number": "610-865-6044",
            "fax_number": "610-865-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR",
            "address_2": "208",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179411",
            "telephone_number": "610-865-6044",
            "fax_number": "610-865-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARASTU",
        "first_name": "MOHAMMAD",
        "middle_name": "ISHAQ",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "019277-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011107",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.