NPIMap

Individual provider Active NPI

Ikbal A. Vahora, MD

  • Internal Medicine Physician
  • Hanover, PA
National Provider Identifier
1386889483
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD437687 Issued in PA
Practice address
300 Highland Ave
Hanover, PA 17331-2297
Phone
(717) 316-3711
Fax
(717) 316-3049
NPI assigned
Dec 4, 2008
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD437687 PA Primary

Addresses

Primary practice location

300 Highland Ave
Hanover, PA 17331-2297

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 316-3711

Other identifiers 1

IdentifierTypeStateIssuer
046621200MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ivahora86624@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000516 PA Practitioner - Internal Medicine 6204982515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Pinnacle Health Hospitalist Services LLCGroup PAC ID 9739313545, 180 clinicians

Practice addresses (Care Compare)

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8772

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 231-8772

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
88.49
Promoting interoperability
100
Improvement activities
40
Cost
72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD437687PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jun 1, 2019 Accepting new patients
Pinnacle Health Regional Physicians Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Upmc Memorial Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Upmc Hanover Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2461

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

100 N Academy Ave
Danville, PA 17822

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 538-2711

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

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

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

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

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

Interoperability endpoints

  • Direct secure messaging: ivahora306254@upmc.direct-ci.com
  • Direct secure messaging: ivahora86624@phsdirect.pinnaclehealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1386889483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-316-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312297",
            "telephone_number": "717-316-3711",
            "fax_number": "717-316-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHORA",
        "first_name": "IKBAL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD437687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046621200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivahora86624@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 Highland Ave",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.