NPIMap

Individual provider Active NPI

Mohammad Shakhawat Hossain, MD

  • Family Medicine Physician
  • Mount Pocono, PA
National Provider Identifier
1669639670
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD440447 Issued in PA
Practice address
126 Market Way
Mount Pocono, PA 18344-1039
Phone
(570) 839-3633
Fax
(570) 839-6490
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD440447 PA Primary

Addresses

Primary practice location

126 Market Way
Mount Pocono, PA 18344-1039

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

17056 Cedarcroft Rd
Jamaica, NY 11432-2726
Phone (347) 868-5055

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL prohealthny1@gmail.com Health Information Exchange (HIE) PRO-HEALTH FAMILY MEDICINE PLLC
Direct Messaging Address mhossain88292@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101117001162 PA Practitioner - Family Practice 7618162504 Reassigns benefits to 2 organizations
I20241211003475 NY Practitioner - Family Practice 7618162504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
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)

12 Kirby Ave
Mountain Top, PA 18707-1215
Phone (570) 474-5978

Hospital & facility affiliations

  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

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 (6 of 9)

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Mar 22, 2021 Accepting new patients
Geisinger Clinic CurrentSince Jul 18, 2010 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Mar 22, 2021 Accepting new patients
Pro-Health Family Medicine PLLC CurrentSince Oct 1, 2024 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Jul 18, 2010 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

21 Commerce CT
Mount Pocono, PA 18344
Phone (570) 839-3633

126 Market Way
Mount Pocono, PA 18344
Phone (570) 839-3633

12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mhossain88292@direct.geisinger.edu

Organizations & group practices 11

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1669639670",
    "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": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MARKET WAY",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441039",
            "telephone_number": "570-839-3633",
            "fax_number": "570-839-6490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17056 Cedarcroft Rd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114322726",
            "country_code": "US",
            "telephone_number": "347-868-5055",
            "fax_number": "347-868-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "MOHAMMAD",
        "middle_name": "SHAKHAWAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD440447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "prohealthny1@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "17056 Cedarcroft Road , Jamaica, NY 11432",
            "affiliationName": "PRO-HEALTH FAMILY MEDICINE PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "170 56 CEDARCROFT RD",
            "city": "JAMAICA",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhossain88292@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "126 Market Way",
            "city": "Mount Pocono",
            "state": "PA",
            "country_code": "US",
            "postal_code": "183441039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pocono, PA

Sources for this page

Verify at the official NPI Registry.