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DR. EDWIN NYAMWAYA MOGAKA MD
NPI 1417537655
Family Medicine in Tobyhanna, PA

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
100 COMMUNITY DR, TOBYHANNA, PA 18466(570) 895-2300 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Aug 23, 2021, Apr 12, 2021 (3 updates tracked since 2021).

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

NPI1417537655
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWIN NYAMWAYA MOGAKACredential: MD
Location Address100 COMMUNITY DRTobyhanna, PA 18466-8985
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500
Phone(570) 895-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1417537655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD484471✔ Licensed in PA · MT223964
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 COMMUNITY DR, Tobyhanna, PA 18466
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Secondary Practice Location 1

Location 1501 S Washington Ave Ste 1000Scranton, PA 18505-3814 · Phone (570) 343-2383

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8123423399
PECOS Enrollment IDI20240825000074
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients

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, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JONATHAN BROWN DPT
Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
RENAL TREATMENT CENTERS NORTHEAST INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 COMMUNITY DR, STE 106
TOBYHANNA, PA 18466
Monroe County (570) 839-0900
PATRICIA C ORWIG LPT
Physical Therapist
100 COMMUNITY DR, 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
LEAH MICHELLE ARLEQUIN MD
Family Medicine
100 COMMUNITY DR
TOBYHANNA, PA 18466
Monroe County (570) 895-2300
MICHAEL TURSO MS,CCC SLP
Speech-Language Pathologist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
RACHAEL SEESE CRNP
Nurse Practitioner (Family)
100 COMMUNITY DR, STE 102
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
JAMES T KINCEL JR. PA-C
Physician Assistant
100 COMMUNITY DR, SUITE 203
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
ANN MARIE ELIZABETH DEANTONIO PTA
Physical Medicine & Rehabilitation
100 COMMUNITY DR
TOBYHANNA, PA 18466
Monroe County (570) 839-9975

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.

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 23 months 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.