Individual provider Active NPI

Mustafa Kaleem, MD

  • Psychiatry Physician
  • Harrisburg, PA
National Provider Identifier
1578724258
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 436653 Issued in PA
Practice address
2501 N 3Rd St
Harrisburg, PA 17110-1904
Phone
(717) 782-4734
Fax
(717) 782-4727
NPI assigned
Jun 24, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 MD 436653 PA Primary

Addresses

Primary practice location

2501 N 3Rd St
Harrisburg, PA 17110-1904

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

601 Roxbury Rd
Shippensburg, PA 17257-9302
Phone (717) 532-4217

Other practice location 2

283 S. Butler Rd
Mt. Gretna, PA 17064-0550
Phone (800) 932-0359

Other practice location 3

900 N 6th St
Harrisburg, PA 17102-1703
Phone (717) 233-2026

Other practice location 4

15 S 9th St
Lebanon, PA 17042-5104
Phone (717) 273-5992

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
I20090727000118 PA Practitioner - Psychiatry 6608929583 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

601 Roxbury Rd
Shippensburg, PA 17257-9302
Phone (888) 829-9974

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
78.42
Improvement activities
40
Cost
70.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 436653PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Services of Reading, LLC Psychiatry CurrentSince Jun 7, 2022 Accepting new patients
Behavioral Solutions Medical, PC Psychiatry CurrentSince Oct 14, 2023 Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince Jan 1, 2021 Accepting new patients
Philhaven Past Accepting new patients

Locations

888 Glenbrook Ave
Ste 110
Bryn Mawr, PA 19010
Phone (561) 264-4406

275 Grandview Ave
Ste 104
Camp Hill, PA 17011
Phone (717) 461-2264

2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728

601 Roxbury Rd
Shippensburg, PA 17257
Phone (717) 532-4217

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578724258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-4734",
            "fax_number": "717-782-4727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Roxbury Rd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579302",
            "country_code": "US",
            "telephone_number": "717-532-4217",
            "fax_number": "717-532-4217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 S. Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Mt. Gretna",
            "state": "PA",
            "postal_code": "170640550",
            "country_code": "US",
            "telephone_number": "800-932-0359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171021703",
            "country_code": "US",
            "telephone_number": "717-233-2026",
            "fax_number": "717-233-2046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170425104",
            "country_code": "US",
            "telephone_number": "717-273-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALEEM",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 436653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.