Individual provider Active NPI

Maysoun Ghabra, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pottstown, PA
National Provider Identifier
1972503787
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD054907L Issued in PA
Practice address
1600 E High St
Pottstown, PA 19464-5008
Phone
(610) 327-7000
Fax
(610) 327-7432
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X MD054907L PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD054907L PA Primary

Addresses

Primary practice location

1600 E High St
Pottstown, PA 19464-5008

Mailing address

1600 E High St
Pottstown, PA 19464-5008
Phone (610) 327-7000

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
I20040301000140 PA Practitioner - Pathology 6709773344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

180 Sheree Blvd
Suite 2900
Exton, PA 19341-3200
Phone (484) 229-7200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Chester Gi Associates PC CurrentSince Oct 1, 2019 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2021 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2021 Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients
Einstein Practice Plan Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

180 Sheree Blvd
Ste 2900
Exton, PA 19341
Phone (484) 229-7200

770 W Lincoln Hwy
Exton, PA 19341
Phone (610) 269-1372

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

325 Central Ave
Fl 2
Malvern, PA 19355

10800 Knights Rd
Fl 3
Philadelphia, PA 19114
Phone (215) 890-3030

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: mghabra@gidoc.medentdirect.com

Organizations & group practices 6

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1972503787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645008",
            "telephone_number": "610-327-7000",
            "fax_number": "610-327-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645008",
            "telephone_number": "610-327-7000",
            "fax_number": "610-327-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHABRA",
        "first_name": "MAYSOUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "PA",
            "license": "MD054907L",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD054907L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.