NPIMap

Individual provider Active NPI

Hayan Moualla, MD

  • Hematology & Oncology Physician
  • Dickson City, PA
National Provider Identifier
1760682835
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD476253 Issued in PA
Practice address
703 Martin F Gibbons Blvd
Dickson City, PA 18519-1787
Phone
(570) 846-2340
Fax
(570) 846-2341
NPI assigned
Jul 18, 2007
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD476253 PA Primary

Addresses

Primary practice location

703 Martin F Gibbons Blvd
Dickson City, PA 18519-1787

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 846-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220307002112 IL Practitioner - Hematology/Oncology 2163600529 Reassigns benefits to 1 organization
I20220309003090 PA Practitioner - Hematology/Oncology 2163600529 Reassigns benefits to 1 organization
I20230418001760 WV Practitioner - Hematology/Oncology 2163600529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2000
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)

3415 Maccorkle Ave SE
Charleston, WV 25304-1334
Phone (304) 388-8380

703 Martin F Gibbons Blvd
Dickson City, PA 18519-1784
Phone (570) 846-2340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47337TNMDPharmacist
MD476253PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Feb 21, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 4, 2023 Accepting new patients
Geisinger Clinic CurrentSince Mar 23, 2026 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Geisinger Clinic CurrentSince Mar 23, 2026 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 4, 2023 Accepting new patients
Wellmont Physician Services Inc Hematology & Oncology Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

100 N Academy Ave
Danville, PA 17822

703 Martin F Gibbons Blvd
Scranton, PA 18519
Phone (570) 846-2340

3415 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-1790

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: hayan.moualla@txo.ikm.direct-ci.com
  • Direct secure messaging: hayanmoualla@arh.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1760682835",
    "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": "570-846-2340",
            "fax_number": "570-846-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MARTIN F GIBBONS BLVD",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191787",
            "telephone_number": "570-846-2340",
            "fax_number": "570-846-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUALLA",
        "first_name": "HAYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD476253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.