Mohamed Azkar Jamaldeen, M.D.
Individual provider Active NPI Internal Medicine Physician · Bethlehem, PA
NPI 1871737643 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1871737643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD444380 (PA)
- Practice address
- 2060 Westgate Dr
Apt G9
Bethlehem, PA 18017-7467 - Phone
- (347) 216-0086
- NPI assigned
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS IHS Phoenix Area
Practice addresses (Care Compare)
264 Hwy
Polacca, AZ 86042
Phone (928) 737-6000
Hospital & facility affiliations
- Hopi Health Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120329000270 | PA | Practitioner - Hospitalist |
2365602372 | Reassigns benefits to 4 organizations |
| I20240117000092 | TX | Practitioner - Family Practice |
2365602372 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2013-0087 | NM | MD | Internal Medicine Physician |
| 0101251130 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Erie Medical Group PC | Internal Medicine | Current |
Accepting new patients |
| DHHS PHS Naihs Crownpoint Hospital | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| DHHS IHS Phoenix Area | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| University of Pittsburgh Physicians | Internal Medicine | Current |
Accepting new patients |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| Thoreau Clinic | Current |
Accepting new patients |
Locations
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
100 N Academy Ave
Danville, PA 17822
145 W 23rd St
Ste 202
Erie, PA 16502
Phone (814) 580-5600
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109
21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
200 Scenery Dr
State College, PA 16801
Phone (814) 231-4560
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD444380 | PA | Yes |
| Internal Medicine Physician | 207R00000X | 0101251130 | VA | |
| Internal Medicine Physician | 207R00000X | MD2013-0087 | NM |
Addresses
Primary practice location
2060 Westgate Dr
Apt G9
Bethlehem, PA 18017-7467
Mailing address
2060 Westgate Dr
Apt G9
Bethlehem, PA 18017-7467
Phone (347) 216-0086
Other providers in Bethlehem, PA
- Daniela Luisa Jaeger
- Randy Jaeger
- Jeffrey A. Jahre
- Gregory Jaindl
- Patti Jo Jaiyeola
- James J. Boylan
- Daniel T James
- Lea Jancic
- Melissa Janis
- Natalie Marie Janotka
All providers in Bethlehem, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.