NPIMap

Individual provider Active NPI

Tarek Hassouna

  • Internal Medicine Physician
  • Camp Hill, PA
National Provider Identifier
1508312851
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT212057 Issued in PA
Practice address
4400 Carlisle Pike
Camp Hill, PA 17011-4132
Phone
(717) 988-0019
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 MT212057 PA Primary

Addresses

Primary practice location

4400 Carlisle Pike
Camp Hill, PA 17011-4132

Mailing address

4400 Carlisle Pike
Camp Hill, PA 17011-4132
Phone (717) 988-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719002747 PA Practitioner - HospitalistPractitioner - Internal Medicine 3375839699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 887-3192

Hospital & facility affiliations

  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079
  • Troy Community Hospital Hospital, Troy, PA, CCN 391305
  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Robert Packer Hosp Inpatient rehabilitation facility, Sayre, PA, CCN 39T079
  • Troy Community Hospital Nursing home, CCN 39Z305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT212057PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2019 Accepting new patients
Robert Packer Hospital Past Accepting new patients
Troy Community Hospital Incorporated Internal Medicine Past Accepting new patients
Robert Packer Hospital Past Accepting new patients

Locations

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121

Interoperability endpoints

  • Direct secure messaging: thassouna143782@direct-guthrie.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1508312851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114132",
            "telephone_number": "717-988-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114132",
            "telephone_number": "717-988-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSOUNA",
        "first_name": "TAREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT212057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.