Individual provider Active NPI

Ayesha Wahab, MD

  • Family Medicine Physician
  • Parkesburg, PA
National Provider Identifier
1295924348
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD438247 Issued in PA
Practice address
950 S. Octorara Trail
Parkesburg, PA 19365-2100
Phone
(610) 857-6639
Fax
(610) 857-6649
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD438247 PA Primary

Addresses

Primary practice location

950 S. Octorara Trail
Parkesburg, PA 19365-2100

Mailing address

950 S. Octorara Trail
Parkesburg, PA 19365-2100
Phone (610) 857-6639

Other practice location 1

5479 Pottsville Pike
Leesport, PA 19533-8650
Phone (610) 916-1050

Other practice location 2

3703 Perkiomen Ave
Reading, PA 19606-2714
Phone (610) 898-7570

Other identifiers 1

IdentifierTypeStateIssuer
102380716MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000030 PA Practitioner - Family Practice 3274670815 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 544-0150

4910 Ritter Rd
Mechanicsburg, PA 17055-4891
Phone (717) 795-1819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438247PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince May 5, 2015 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 23, 2021 Accepting new patients
American Current Care P.a. CurrentSince Sep 21, 2023 Accepting new patients
American Current Care PA CurrentSince Sep 21, 2023 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Tower Health Urgent Care, LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Tower Health Medical Group CurrentSince May 5, 2015 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 23, 2021 Accepting new patients

Locations

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

4910 Ritter Rd
Mechanicsburg, PA 17055
Phone (717) 795-1819

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

3703 Perkiomen Ave
Reading, PA 19606
Phone (610) 898-7551

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: awahab213846@direct-lghealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1295924348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S. OCTORARA TRAIL",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193652100",
            "telephone_number": "610-857-6639",
            "fax_number": "610-857-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S. OCTORARA TRAIL",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193652100",
            "telephone_number": "610-857-6639",
            "fax_number": "610-857-6649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5479 Pottsville Pike",
            "address_purpose": "LOCATION",
            "city": "Leesport",
            "state": "PA",
            "postal_code": "195338650",
            "country_code": "US",
            "telephone_number": "610-916-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3703 Perkiomen Ave",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196062714",
            "country_code": "US",
            "telephone_number": "610-898-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHAB",
        "first_name": "AYESHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD438247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102380716",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkesburg, PA

Sources for this page

Verify at the official NPI Registry.