NPIMap

Individual provider Active NPI

Momina I Mastoor, M.D.

  • Cardiovascular Disease Physician
  • Gettysburg, PA
National Provider Identifier
1336119742
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD468797 Issued in PA
Practice address
450 S Washington St Ste a
Gettysburg, PA 17325-2500
Phone
(717) 339-3105
Fax
(717) 798-3670
NPI assigned
Jan 26, 2006
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0050822 MD
Cardiovascular Disease Physician 207RC0000X MD468797 PA Primary

Addresses

Primary practice location

450 S Washington St Ste a
Gettysburg, PA 17325-2500

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 399-3105

Other practice location 1

200 East 33rd Street
Suite 551
Baltimore, MD 21218
Phone (410) 243-4982

Other practice location 2

2900 Carlisle Pike
New Oxford, PA 17350-8426
Phone (717) 339-3105

Other practice location 3

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 646-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041122000721 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840255519 Reassigns benefits to 1 organization
I20191030000511 PA Practitioner - Cardiovascular Disease (Cardiology) 0840255519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 339-2760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050822MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Oct 8, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Oct 8, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
St. Agnes Healthcare, Inc. Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Surgical Associates of Annapolis, LLC PastSince Nov 12, 2025 Accepting new patients
Heart Associates, P.a. Past Accepting new patients
Grace Medical Center, Inc. Past Accepting new patients

Locations

450 S Washington St
Ste A
Gettysburg, PA 17325
Phone (717) 339-3105

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

2900 Carlisle Pike
New Oxford, PA 17350
Phone (717) 624-5260

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: mmastoor189344@wellspan.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 11

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1336119742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-399-3105",
            "fax_number": "717-798-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WASHINGTON ST STE A",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252500",
            "telephone_number": "717-339-3105",
            "fax_number": "717-798-3670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 East 33rd Street",
            "address_2": "Suite 551",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21218",
            "country_code": "US",
            "telephone_number": "410-243-4982",
            "fax_number": "410-235-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Carlisle Pike",
            "address_purpose": "LOCATION",
            "city": "New Oxford",
            "state": "PA",
            "postal_code": "173508426",
            "country_code": "US",
            "telephone_number": "717-339-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-646-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTOOR",
        "first_name": "MOMINA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0050822",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD468797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.