DR. EDWIN NYAMWAYA MOGAKA MD
NPI 1417537655
Family Medicine in Tobyhanna, PA
About Dr. Edwin Nyamwaya Mogaka Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWIN NYAMWAYA MOGAKA MD (NPI 1417537655) is an individual family medicine provider in Tobyhanna, Pennsylvania, licensed in Pennsylvania (MD484471) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and maintains a secondary practice location in Scranton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edwin Nyamwaya Mogaka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Edwin Mogaka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tobyhanna, PA 18466
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOBYHANNA, PA 18466
TOBYHANNA, PA 18466
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 Edwin Mogaka's NPI number?
The NPI number for Edwin Mogaka is 1417537655. It was assigned to this individual provider in the NPPES registry on April 12, 2021.
Where is Edwin Mogaka located?
Edwin Mogaka practices at 100 Community Dr, Tobyhanna, PA 18466. The listed phone number is (570) 895-2300.
What is Edwin Mogaka's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edwin Mogaka enrolled in Medicare?
Yes. Edwin Mogaka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Edwin Mogaka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Mogaka reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Tobyhanna, PA) and Family Care Centers Inc (East Stroudsburg, PA). Each 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 Edwin Mogaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edwin Mogaka affiliated with any hospitals?
According to CMS data, Edwin Mogaka is affiliated with Lehigh Valley Hospital - Pocono.
When was this NPI record last updated?
The NPPES record for Edwin Mogaka was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Edwin Nyamwaya Mogaka, MD · NPI 1417537655
Family Medicine physician in Tobyhanna, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1417537655 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD484471 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 COMMUNITY DR, Tobyhanna, PA 18466-8985
- **Phone:** (570) 895-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1336902469, Tobyhanna, PA); Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417537655) · Data from the CMS NPPES public registry.