Individual provider Active NPI

Mohammad Omar Bukhari, DO

  • Family Medicine Physician
  • Altoona, PA
National Provider Identifier
1306334073
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS020403 Issued in PA
Practice address
Altoona Family Physicians 501 Howard Avenue
Suite F2
Altoona, PA 16601
Phone
(814) 889-7569
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS020403 PA Primary

Addresses

Primary practice location

Altoona Family Physicians 501 Howard Avenue
Suite F2
Altoona, PA 16601

Mailing address

3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213

Other practice location 1

300 W King St
Littlestown, PA 17340-1446
Phone (717) 359-9214

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbukhari202951@phsdirect.pinnaclehealth.org

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
I20210615000289 PA Practitioner - Family Practice 0840546321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1655 Crooked Oak Dr
Lancaster, PA 17601-4207
Phone (717) 569-2678

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020403PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Family Medicine CurrentSince May 1, 2023 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Lancaster General Medical Group CurrentSince May 1, 2023 Accepting new patients
Pinnacle Health Hospitalist Services LLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2021 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

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

300 W King St
Littlestown, PA 17340
Phone (717) 359-9214

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Organizations & group practices 7

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1306334073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVENUE",
            "address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALTOONA FAMILY PHYSICIANS 501 HOWARD AVENUE",
            "address_2": "SUITE F2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-889-7569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W King St",
            "address_purpose": "LOCATION",
            "city": "Littlestown",
            "state": "PA",
            "postal_code": "173401446",
            "country_code": "US",
            "telephone_number": "717-359-9214",
            "fax_number": "717-359-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKHARI",
        "first_name": "MOHAMMAD",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbukhari202951@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 W King St",
            "city": "Littlestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173401446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.