Individual provider Active NPI

Mihir Hareshkumar Ankola

  • Internal Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1801586565
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT227890 Issued in PA
Practice address
4311 Easton Ave
Bethlehem, PA 18020-1431
Phone
(484) 526-7410
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 MT227890 PA Primary

Addresses

Primary practice location

4311 Easton Ave
Bethlehem, PA 18020-1431

Mailing address

4311 Easton Ave
Bethlehem, PA 18020-1431

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
I20230518002750 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0941666820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: mankola303047@direct-sluhn.org

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1801586565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201431",
            "telephone_number": "484-526-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKOLA",
        "first_name": "MIHIR",
        "middle_name": "HARESHKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT227890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.