Individual provider Active NPI

Raquel Mora, M.D.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1891747796
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD073122L Issued in PA
Practice address
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone
(570) 808-7762
Fax
(570) 808-6128
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD073122L PA Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 2024040207 MO
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 04-48915 KS

Addresses

Primary practice location

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-7762

Other practice location 1

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

Other identifiers 1

IdentifierTypeStateIssuer
0018568280005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20101214000190 PA Practitioner - Emergency Medicine 6103013321 Reassigns benefits to 6 organizations
I20160615000030 NJ Practitioner - Emergency Medicine 6103013321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Univeristy Emergency Physicians PCGroup PAC ID 4486627551, 63 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-48915KSMDPediatric Emergency Medicine (Pediatrics) Physician
2024040207MOMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Jan 4, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2025 Accepting new patients
The Children'S Mercy Hospital CurrentSince Mar 25, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince May 21, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince May 21, 2024 Accepting new patients
Cooper Univeristy Emergency Physicians, PC Emergency Medicine CurrentSince Apr 20, 2016 Accepting new patients
Cooper Urgent Care, PC CurrentSince Apr 20, 2016 Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 1, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 1, 2025 Accepting new patients
The Children'S Mercy Hospital CurrentSince Mar 25, 2024 Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Jan 4, 2024 Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Emergency Medicine Past Accepting new patients
St. Christopher'S Pediatric Urgent Care Center LLC Past Accepting new patients

Locations

5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000

6750 W 135th St
Overland Park, KS 66223
Phone (913) 717-4700

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

2001 Route 70 W
Cherry Hill, NJ 08002

175 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 536-1640

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

100 N Academy Ave
Danville, PA 17822

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1891747796",
    "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": "570-808-7762",
            "fax_number": "570-808-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7762",
            "fax_number": "570-808-6128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-234-3000",
            "fax_number": "816-302-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD073122L",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MO",
            "license": "2024040207",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "KS",
            "license": "04-48915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018568280005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.