Active NPI
Mouna Al-Agha, MD
- Internal Medicine Physician
- Ranshaw, PA
National Provider Identifier
1497913156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD437924
- Practice address
- 7 Anthra Plaza Ctr
Ranshaw, PA 17866-4199 - Phone
- (570) 644-0988
- Fax
- (570) 644-0945
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD437924 | PA | Primary |
Addresses
Primary practice location
7 Anthra Plaza Ctr
Ranshaw, PA 17866-4199
Mailing address
7 Anthra Plaza Ctr
Ranshaw, PA 17866-4199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023770960001 | Medicaid | PA |
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
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7 Anthra Plaza Ctr
Suite 61
Coal Township, PA 17866-4199
Phone (570) 644-0988
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wardeh Agha Medical Center LLC | Internal Medicine | Current | Accepting new patients |
Locations
7 Anthra Plaza Ctr
#61
Ranshaw, PA 17866
Phone (570) 644-0988
7 Anthra Plaza Ctr
Ranshaw, PA 17866
Phone (570) 644-0988
Interoperability endpoints
- mouna.al-agha@574580928610308.direct.elationemr.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Ranshaw, PA
- NPI 1417188251
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1154617694
-
- General Acute Care Hospital
- Danville, PA
- NPI 1235215427
-
- General Acute Care Hospital
- Danville, PA
- NPI 1275832164
-
- General Acute Care Hospital
- Selinsgrove, PA
- NPI 1275850620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1497913156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ANTHRA PLAZA CTR",
"city": "RANSHAW",
"state": "PA",
"postal_code": "178664199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ANTHRA PLAZA CTR",
"city": "RANSHAW",
"state": "PA",
"postal_code": "178664199",
"telephone_number": "570-644-0988",
"fax_number": "570-644-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-AGHA",
"first_name": "MOUNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD437924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023770960001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ranshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.