Individual provider Active NPI

Mohamed Al Kanjo, MD

  • Neonatal-Perinatal Medicine Physician
  • Danville, PA
National Provider Identifier
1871089409
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD479327 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-9800
Phone
(570) 271-8091
Fax
(570) 271-5879
NPI assigned
Jul 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X PA-MD479327 GA
Neonatal-Perinatal Medicine Physician 2080N0001X MD479327 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-9800

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-8091

Other identifiers 1

IdentifierTypeStateIssuer
20200707765333MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address malkanjo247221@phsdirect.pinnaclehealth.org Direct
Direct Messaging Address %20mohamed-alkanjo@uiowa.edu

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
I20230410002001 PA Practitioner - Pediatric Medicine 8123443264 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Neonatal-Perinatal Medicine CurrentSince Jul 1, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
Geisinger Clinic CurrentSince Dec 9, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 27, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 27, 2023 Accepting new patients
Geisinger Clinic CurrentSince Dec 9, 2025 Accepting new patients
Upmc Carlisle Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2645 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-4650

300 Halket St
#5600
Pittsburgh, PA 15213
Phone (412) 641-5164

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: malkanjo280022@upmc.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1871089409",
    "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": "570-271-8091",
            "fax_number": "570-271-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-8091",
            "fax_number": "570-271-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL KANJO",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "GA",
            "license": "PA-MD479327",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD479327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20200707765333",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malkanjo247221@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2645 N 3rd St Fl 2",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171102001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "%20mohamed-alkanjo@uiowa.edu",
            "affiliation": "N",
            "address_1": "200 Hawkins Dr",
            "city": "Iowa City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522421009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.