Individual provider Active NPI

Heba Gamal Elrawashdy, PA-C

  • Medical Physician Assistant
  • Wilkes Barre, PA
National Provider Identifier
1669216313
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065682 Issued in PA
Practice address
950 E Mountain Dr
Wilkes Barre, PA 18711-0028
Phone
(570) 808-6000
Fax
(570) 808-6061
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA065682 PA Primary

Addresses

Primary practice location

950 E Mountain Dr
Wilkes Barre, PA 18711-0028

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240814002054 PA Practitioner - Physician Assistant 2466990072 Reassigns benefits to 3 organizations
I20240918001882 NJ Practitioner - Physician Assistant 2466990072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

950 E Mountain Blvd
Wilkes Barre, PA 18702-7924
Phone (570) 808-5770

Hospital & facility affiliations

  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA065682PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Sep 30, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 30, 2024 Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2026 Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2026 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

185 Roseberry St
#2
Phillipsburg, NJ 08865

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

100 N Academy Ave
Danville, PA 17822

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-4340

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

950 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 808-3290

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1669216313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-808-6000",
            "fax_number": "570-808-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MOUNTAIN DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110028",
            "telephone_number": "570-808-6000",
            "fax_number": "570-808-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELRAWASHDY",
        "first_name": "HEBA",
        "middle_name": "GAMAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.