Individual provider Active NPI

John M Movassaghi, MD

  • Internal Medicine Physician
  • Ashland, PA
National Provider Identifier
1457315988
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD426328 Issued in PA
Practice address
124 W Centre St
Ashland, PA 17921-1343
Phone
(717) 808-1667
Fax
(717) 808-1667
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 MD426328 PA Primary

Addresses

Primary practice location

124 W Centre St
Ashland, PA 17921-1343

Mailing address

124 W Centre St
Ashland, PA 17921-1343
Phone (717) 808-1667

Other practice location 1

560 Van Reed Rd Ste 101
Wyomissing, PA 19610-1799
Phone (484) 516-2937

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
I20050914000474 PA Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - DermatologyPractitioner - Pulmonary Disease 0547293193 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD426328PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bmax Pennsylvania LLC CurrentSince Jun 22, 2020 Accepting new patients
Pear Program Inc CurrentSince Jul 1, 2023 Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Reading Dermatology Associates PC PastSince Apr 14, 2009 Accepting new patients

Locations

560 Van Reed Rd
Ste 101
Wyomissing, PA 19610
Phone (484) 516-2937

560 Van Reed Rd
Ste 203
Wyomissing, PA 19610
Phone (484) 516-2937

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1457315988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211343",
            "telephone_number": "717-808-1667",
            "fax_number": "717-808-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211343",
            "telephone_number": "717-808-1667",
            "fax_number": "717-808-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Van Reed Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101799",
            "country_code": "US",
            "telephone_number": "484-516-2937",
            "fax_number": "484-930-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOVASSAGHI",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD426328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, PA

Sources for this page

Verify at the official NPI Registry.