HARETH MADHOUN DO
NPI 1578790077
Internal Medicine - Rheumatology in Lancaster, PA
About Hareth Madhoun Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARETH MADHOUN DO (NPI 1578790077) is an individual rheumatology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (OS015288) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains a secondary practice location in Columbus.
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
Hareth Madhoun Do 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 Reassignment
Medicare enrollment records show Hareth Madhoun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, PA 17601
- Reassigned Medicare billing, Pennsylvania enrollment
- 468 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 9
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan York Hospital
Acute Care Hospitals · York, PAUpmc Pinnacle Hospitals
Acute Care Hospitals · Harrisburg, PAUpmc Lititz
Acute Care Hospitals · Lititz, PALancaster General Hospital
Acute Care Hospitals · Lancaster, PAUpmc Memorial
Acute Care Hospitals · York, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANCASTER, PA 17601
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 Hareth Madhoun's NPI number?
The NPI number for Hareth Madhoun is 1578790077. It was assigned to this individual provider in the NPPES registry on June 11, 2009.
Where is Hareth Madhoun located?
Hareth Madhoun practices at 1725 Oregon Pike Ste B107, Lancaster, PA 17601. The listed phone number is (717) 560-3505.
What is Hareth Madhoun's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Hareth Madhoun enrolled in Medicare?
Yes. Hareth Madhoun 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 organization bills Medicare for Hareth Madhoun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hareth Madhoun reassigns Medicare benefits to Pinnacle Health Regional Physicians (Lancaster, PA). The 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 Hareth Madhoun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Hareth Madhoun affiliated with any hospitals?
According to CMS data, Hareth Madhoun is affiliated with Wellspan York Hospital, Upmc Pinnacle Hospitals, Upmc Lititz, Lancaster General Hospital and Upmc Memorial.
When was this NPI record last updated?
The NPPES record for Hareth Madhoun was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Hareth Madhoun, DO · NPI 1578790077
Rheumatology physician in Lancaster, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 11, 2009.
## Identity
- **NPI:** 1578790077 (Entity type: Individual)
- **Enumerated:** June 11, 2009
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** OS015288 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1725 OREGON PIKE STE B107, Lancaster, PA 17601-4290
- **Phone:** (717) 560-3505 · **Fax:** (717) 560-3531
## 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:** Pinnacle Health Regional Physicians (NPI 1730609991, Lancaster, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2009
## Record status
- **NPPES last updated:** December 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1578790077) · Data from the CMS NPPES public registry.