Mohamed Azkar Jamaldeen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD444380 Issued in PA

Practice address

2060 Westgate Dr
Apt G9
Bethlehem, PA 18017-7467

Phone

(347) 216-0086

NPI assigned

Apr 23, 2009

Last updated

Apr 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, TX2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHHS IHS Phoenix AreaGroup PAC ID 9436325420, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hopi Health Care Center Hospital, Polacca, AZ, CCN 031305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• DHHS IHS Phoenix Area

  dba Hopi Health Care Center

  • Critical Access Hospital
  • Polacca, AZ
  • NPI 1356628028

  TX

  Medicare reassignment Care Compare group NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Lake Erie Medical Group PC

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1053696997
  Medicare reassignment NPD
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  dba PrimeMed Medical Grp Clark Summit in collaboration w/Geisinger Clinic

  • Family Medicine Physician
  • Clarks Summit, PA
  • NPI 1952719619
  NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  dba St. Luke's Internal Medicine at Tamaqua

  • Internal Medicine Physician
  • Tamaqua, PA
  • NPI 1174664049
  NPD
• University of Pittsburgh Physicians

  dba Center for Community Hospitalist Medicine

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1053848051
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1871737643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 WESTGATE DR",
            "address_2": "APT G9",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177467",
            "telephone_number": "347-216-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 WESTGATE DR",
            "address_2": "APT G9",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177467",
            "telephone_number": "347-216-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMALDEEN",
        "first_name": "MOHAMED",
        "middle_name": "AZKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD444380",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101251130",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2013-0087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Luisa Jaeger, MD
• Randy Jaeger, M.D.
• Jeffrey A. Jahre, M.D.
• Gregory Jaindl
• Patti Jo Jaiyeola, M.D.
• James J. Boylan
• Daniel T James, LPC
• Lea Jancic, M.D.
• Melissa Janis, MS CCC-SLP/L
• Natalie Marie Janotka, LPC

• Internal Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.