NPIMap

Individual provider Active NPI

Faris Nawfal Omar Albakoaa, MD

  • Family Medicine Physician
  • Trexlertown, PA
National Provider Identifier
1396418331
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD485553 Issued in PA
Practice address
6900 Hamilton Blvd
Trexlertown, PA 18087-9101
Phone
(610) 402-0101
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD485553 PA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MT222254 PA

Addresses

Primary practice location

6900 Hamilton Blvd
Trexlertown, PA 18087-9101

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622

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
I20251010000922 PA Practitioner - Family Practice 5890177901 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485553PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

3371 Route 100
Macungie, PA 18062
Phone (610) 336-8277

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

6900 Hamilton Blvd
Trexlertown, PA 18087
Phone (610) 402-0101

Organizations & group practices 8

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 8

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician Group 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

3369 State Route 100
LVH Hospitalist PGRM
Macungie, PA 18062-9613
Phone (610) 402-8111

3371 State Route 100
LVPG Orthopedics and Sports Medicine Macu
Macungie, PA 18062-9613
Phone (610) 402-8900

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430
  • Lehigh Valley Hospital Tsu Nursing home, Allentown, PA, CCN 395951

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1396418331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HAMILTON BLVD",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180879101",
            "telephone_number": "610-402-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBAKOAA",
        "first_name": "FARIS",
        "middle_name": "NAWFAL OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD485553",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MT222254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trexlertown, PA

Sources for this page

Verify at the official NPI Registry.