NPIMap

Individual provider Active NPI

Anwar Nakkoul, MD

  • Internal Medicine Physician
  • Ashland, PA
National Provider Identifier
1669465381
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD059146L Issued in PA
Practice address
1023 Centre St
Ashland, PA 17921-1204
Phone
(570) 875-3665
Fax
(570) 875-2012
NPI assigned
Aug 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MD059146L PA Primary

Addresses

Primary practice location

1023 Centre St
Ashland, PA 17921-1204

Mailing address

1023 Centre St
Ashland, PA 17921-1204
Phone (570) 875-3665

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
I20120813000212 PA Practitioner - Internal Medicine 1355597022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1023 W Ctr St
Ashland, PA 17921-1204
Phone (570) 875-3665

Hospital & facility affiliations

  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anwar Nakkoul MD, PC Internal Medicine CurrentSince Jul 27, 2012 Accepting new patients
Med Health Services Management, LP PastSince Jul 5, 2018 Accepting new patients

Locations

1023 W Center St
Ashland, PA 17921
Phone (570) 875-3665

Organizations & group practices 2

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669465381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211204",
            "telephone_number": "570-875-3665",
            "fax_number": "570-875-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211204",
            "telephone_number": "570-875-3665",
            "fax_number": "570-875-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKKOUL",
        "first_name": "ANWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD059146L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, PA

Sources for this page

Verify at the official NPI Registry.