Individual provider Active NPI

Rayan Chamroukh, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Scranton, PA
National Provider Identifier
1326830431
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
MT235652 Issued in PA
Practice address
The Wright Center for Graduate Medical Education
501 S. Washington Avenue
Scranton, PA 18505
Phone
(570) 343-2383
Fax
(570) 343-4800
NPI assigned
May 22, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 PA
Student in an Organized Health Care Education/Training Program 390200000X MT235652 PA Primary

Addresses

Primary practice location

The Wright Center for Graduate Medical Education
501 S. Washington Avenue
Scranton, PA 18505

Mailing address

The Wright Center for Graduate Medical Education
501 S. Washington Avenue
Scranton, PA 18505
Phone (570) 343-2383

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
I20250922000266 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3779087879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT235652PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group CurrentSince May 25, 2025 Accepting new patients

Locations

501 S Washington Ave
Scranton, PA 18505
Phone (570) 591-5153

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1326830431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION",
            "address_2": "501 S. WASHINGTON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION",
            "address_2": "501 S. WASHINGTON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMROUKH",
        "first_name": "RAYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT235652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.