Active NPI
Mushtaq Jameel, M.D.
- Psychiatry Physician
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD421897
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25-1716306 | Other | PA | INTERGROUP |
| 5702486 | Other | PA | FIRST HEALTH |
| 7796813 | Other | PA | AETNA NON-HMO |
| 25-1716306 | Other | PA | HEALTHNET/TRICARE |
| 25-1716306 | Other | PA | INFORMED |
| 50060241 | Other | PA | CAPITAL BLUECROSS |
| JA1789404 | Other | PA | HIGHMARK BLUE SHIELD |
| P00377938 | Other | PA | RAILROAD MEDICARE |
| 1282351 | Other | PA | AETNA HMO |
| 25-1716306 | Other | PA | GREATWEST |
| G920-0053/KDM4CU | Other | PA | CAREFIRST |
| MD421897 | Other | PA | LICENSE NUMBER |
| 101540403 0002 | Medicaid | PA | |
| 25-1716306 | Other | PA | SOUTH CENTRAL PREFERRED |
| 867633 | Other | PA | MEDICARE GROUP # |
| 1572649 | Other | PA | GATEWAY |
| 25-1716306 | Other | PA | DEVON |
| 25-1716306 | Other | PA | MULTIPLAN/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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Behavioral Health Hospital LLC | Current | Accepting new patients | |
| Children's Service Center of Wyoming Valley, Inc | Current | 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 | Current | 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
- 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.
-
- Counselor
- Wilkes Barre, PA
- NPI 1700861242
Child & Adolescent Psychiatry
-
dba Lancaster Behavioral Health Hospital
- Psychiatric Hospital
- Lancaster, PA
- NPI 1063929115
-
- Occupational Therapist
- Wilkes Barre, PA
- NPI 1649060955
-
- Federally Qualified Health Center (FQHC)
- Wilkes Barre, PA
- NPI 1710617857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.