Individual provider Active NPI

Mushtaq Jameel, M.D.

  • Psychiatry Physician
  • Chambersburg, PA
National Provider Identifier
1487605176
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD421897 Issued in PA
Practice address
176 S Coldbrook Avenue
Chambersburg, PA 17201-2714
Phone
(717) 267-7480
Fax
(717) 267-7427
NPI assigned
May 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD421897 PA Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD421897 PA

Addresses

Primary practice location

176 S Coldbrook Avenue
Chambersburg, PA 17201-2714

Mailing address

785 5TH Avenue
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 267-7480

Other identifiers 18

IdentifierTypeStateIssuer
25-1716306OtherPAINTERGROUP
5702486OtherPAFIRST HEALTH
7796813OtherPAAETNA NON-HMO
25-1716306OtherPAHEALTHNET/TRICARE
25-1716306OtherPAINFORMED
50060241OtherPACAPITAL BLUECROSS
JA1789404OtherPAHIGHMARK BLUE SHIELD
P00377938OtherPARAILROAD MEDICARE
1282351OtherPAAETNA HMO
25-1716306OtherPAGREATWEST
G920-0053/KDM4CUOtherPACAREFIRST
MD421897OtherPALICENSE NUMBER
101540403 0002MedicaidPA
25-1716306OtherPASOUTH CENTRAL PREFERRED
867633OtherPAMEDICARE GROUP #
1572649OtherPAGATEWAY
25-1716306OtherPADEVON
25-1716306OtherPAMULTIPLAN/PHCS

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
I20060908000149 PA Practitioner - Psychiatry 2062416894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 W Tioga St
RCC Tunkhannock
Tunkhannock, PA 18657-1496
Phone (570) 836-2795

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Behavioral Health Hospital LLC CurrentSince Sep 14, 2019 Accepting new patients
Children's Service Center of Wyoming Valley, Inc CurrentSince Sep 23, 2017 Accepting new patients
Children's Service Center of Wyoming Valley, Inc Child & Adolescent Psychiatry Current Accepting new patients
Children's Service Center of Wyoming Valley, Inc CurrentSince Sep 23, 2017 Accepting new patients

Locations

20 N Laurel St
Hazleton, PA 18201
Phone (570) 455-3608

840 Main St
Honesdale, PA 18431
Phone (570) 253-0321

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

133 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2722

335 S Franklin St
Wilkes Barre, PA 18702
Phone (570) 825-6425

Interoperability endpoints

  • Direct secure messaging: mjameel186023@direct-lghealth.org

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, 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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487605176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVENUE",
            "address_2": "SUITE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-267-7480",
            "fax_number": "717-217-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S COLDBROOK AVENUE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012714",
            "telephone_number": "717-267-7480",
            "fax_number": "717-267-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMEEL",
        "first_name": "MUSHTAQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD421897",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD421897",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5702486",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7796813",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/TRICARE",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "50060241",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "JA1789404",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00377938",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1282351",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "G920-0053/KDM4CU",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD421897",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101540403 0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CENTRAL PREFERRED",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "867633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1572649",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/PHCS",
            "identifier": "25-1716306",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.