Active NPI
Mohammad Khaled Tashkandi, M.D.
- Gastroenterology Physician
- Edwardsville, PA
National Provider Identifier
1306278288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD466440
- Practice address
- 490 Northampton St Ste 1
Edwardsville, PA 18704 - Phone
- (570) 288-8100
- Fax
- (570) 288-8100
- NPI assigned
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301102659 | MI | |
| Critical Access Hospital | 282NC0060X | MD044161 | DC | |
| Gastroenterology Physician | 207RG0100X | MD466440 | PA | Primary |
Addresses
Primary practice location
490 Northampton St Ste 1
Edwardsville, PA 18704
Mailing address
490 Northampton St Ste 1
Edwardsville, PA 18704-4551
Phone (570) 288-8100
Other practice location 1
2150 Pennsylvania Ave NW
Suite 5-402
Washington, DC 20037-3201
Phone (202) 741-2255
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
490 Northampton St
Suite 1
Edwardsville, PA 18704-4551
Phone (570) 288-8100
494 Northampton St
Suite 2
Edwardsville, PA 18704-4551
Phone (510) 718-0671
575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 829-8111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.3 of 100
- Quality
- 37.36
- Improvement activities
- 40
- Cost
- 71.19
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 60 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301102659 | MI | MD | Internal Medicine Physician |
| MD466440 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Care Associates PC | Gastroenterology | Current | Accepting new patients |
Locations
494 Northampton St
Ste 2
Kingston, PA 18704
Phone (510) 718-0671
490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100
Interoperability endpoints
- mtashkandi@gastronepa.medentdirect.com
- mohammad.tashkandi.1@14929.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Edwardsville, PA
- NPI 1083094460
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
dba Geisinger HealthPlex CenterPoint
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1306278288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 NORTHAMPTON ST STE 1",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "187044551",
"telephone_number": "570-288-8100",
"fax_number": "570-288-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 NORTHAMPTON ST STE 1",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-288-8100",
"fax_number": "570-288-8100"
}
],
"practiceLocations": [
{
"address_1": "2150 Pennsylvania Ave NW",
"address_2": "Suite 5-402",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200373201",
"country_code": "US",
"telephone_number": "202-741-2255",
"fax_number": "202-741-2788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TASHKANDI",
"first_name": "MOHAMMAD",
"middle_name": "KHALED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301102659",
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "DC",
"license": "MD044161",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD466440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwardsville, PA
- Marci Lynn Barr Schwartz, SC.M.
- Charles Joseph Scrobola, M.D.
- Shelly a Levulis
- Sandra Stagg-Young, LMSW
- Alexis Steeber, OTD, OTR/L, CLT
- The Endoscopy Center at Gateway LLC
- Turosky Chiropractic Clinic
- Turosky Chiropractic Clinic, PC (Turosky Natural Healing Centre)
- John H Turosky, DC
- Vincent B Turosky, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.