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WARDEH AGHA MEDICAL CENTER LLC
NPI 1417188251
Internal Medicine in Ranshaw, PA

Active since July 28, 2009CLIA 39D0993190 · Waiver
7 ANTHRA PLAZA CTR, SR 61, RANSHAW, PA 17866(570) 644-0988(570) 644-0945 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wardeh Agha Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARDEH AGHA MEDICAL CENTER LLC (NPI 1417188251) is a healthcare organization registered as an internal medicine in Ranshaw, Pennsylvania and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Ahmad Wardeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1417188251
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWARDEH AGHA MEDICAL CENTER LLC
Location Address7 ANTHRA PLAZA CTR, SR 61Ranshaw, PA 17866-4199
Mailing Address7 Anthra Plaza Ctr, Sr 61Ranshaw, PA 17866-4199
Phone(570) 644-0988
Fax(570) 644-0945
Organization SubpartNo
Authorized OfficialAhmad WardehOwner · (570) 644-0988
Enumeration DateJuly 28, 2009
Last NPPES UpdateOctober 21, 2009
✔ NPI 1417188251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD068460L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7 ANTHRA PLAZA CTR, Ranshaw, PA 17866
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wardeh Agha Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wardeh Agha Medical Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mouna Al-Agha, MD
Internal Medicine
NPI 1497913156
7 ANTHRA PLAZA CTR
Ranshaw, PA 17866
(570) 644-0988
✔ PECOS✔ Accepts MedicareSame address
Ahmad Wardeh, MD
Internal Medicine
NPI 1255309779
7 ANTHRA PLAZA CTR
Ranshaw, PA 17866
(570) 644-0988
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0993190

Wardeh-Agha Med Center LLC · Coal Township, PA
Active · expires Nov 6, 2027
CLIA Number39D0993190
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorAhmad F. Wardeh MD
Laboratory Phone(570) 644-0988
Laboratory LocationWardeh-Agha Med Center LLC7 Anthra Plaza State Rt 61, Coal Township, PA 17866
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wardeh Agha Medical Center LLC's NPI number?

The NPI number for Wardeh Agha Medical Center LLC is 1417188251. It was assigned to this organization in the NPPES registry on July 28, 2009.

Where is Wardeh Agha Medical Center LLC located?

Wardeh Agha Medical Center LLC is located at 7 Anthra Plaza Ctr Sr 61, Ranshaw, PA 17866. The listed phone number is (570) 644-0988.

What is Wardeh Agha Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wardeh Agha Medical Center LLC enrolled in Medicare?

Yes. Wardeh Agha Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wardeh Agha Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Wardeh Agha Medical Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wardeh Agha Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0993190) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wardeh Agha Medical Center LLC was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.