Individual provider Active NPI

Muhammad Ikram, MD

  • Psychiatry Physician
  • Harrisburg, PA
National Provider Identifier
1477731180
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD418986 Issued in PA
Practice address
1801 N Front St
Harrisburg, PA 17102-2213
Phone
(570) 441-6504
NPI assigned
Feb 5, 2008
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD418986 PA Primary

Addresses

Primary practice location

1801 N Front St
Harrisburg, PA 17102-2213

Mailing address

320 Cloudless Sky Dr
Mechanicsburg, PA 17050-3804
Phone (570) 441-6504

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
I20080528000627 PA Practitioner - Psychiatry 6103996566 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD418986PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Psychiatric Institute CurrentSince Nov 30, 2011 Accepting new patients
Merakey Pennsylvania CurrentSince Apr 18, 2012 Accepting new patients
Merakey Pennsylvania CurrentSince Apr 18, 2012 Accepting new patients
Merakey Pennsylvania Current Accepting new patients
Diakon Child, Family & Community Ministries Current Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Nov 30, 2011 Accepting new patients
Isl, LTD Psychiatry PastSince Feb 20, 2017 Accepting new patients
Philhaven Past Accepting new patients

Locations

1801 N Front St
Harrisburg, PA 17102
Phone (717) 238-7662

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

401 Division St
Harrisburg, PA 17110
Phone (717) 782-4349

4251 Crums Mill Rd
Harrisburg, PA 17112
Phone (717) 441-3700

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

1800 W Market St
Lewisburg, PA 17837
Phone (570) 524-9477

1151 Pocono Blvd
Mount Pocono, PA 18344
Phone (570) 243-8787

435 W 4th St
Williamsport, PA 17701
Phone (570) 327-4913

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, 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": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1477731180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CLOUDLESS SKY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503804",
            "telephone_number": "570-441-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022213",
            "telephone_number": "570-441-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKRAM",
        "first_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD418986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.