HEIDAR J ALBANDAR MD
NPI 1659766889
Internal Medicine - Medical Oncology in Fountain Hill, PA

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
701 OSTRUM ST STE 501, FOUNTAIN HILL, PA 18015(484) 503-7000(484) 503-7001 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2025, Mar 15, 2023, Aug 29, 2022 and 2 more (5 updates tracked since 2019).

About Heidar J Albandar Md NPPES

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

HEIDAR J ALBANDAR MD (NPI 1659766889) is an individual medical oncology provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MD472789) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659766889
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameHEIDAR J ALBANDARCredential: MD
Location Address701 OSTRUM ST STE 501Fountain Hill, PA 18015-1153
Mailing Address701 Ostrum St Ste 501Fountain Hill, PA 18015-1153 · (484) 503-7000 · Fax (484) 503-7001
Fax(484) 503-7001
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateDecember 30, 20255 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1659766889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in PA · MD472789
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11500500 (NJ), 28245 (WV)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 28245 (WV)
701 OSTRUM ST STE 501, Fountain Hill, PA 18015

Secondary Practice Locations 2

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-6560 · Fax (304) 598-6565
Location 2991 Main St Ste 1BPaterson, NJ 07503-2274 · Phone (973) 754-1000 · Fax (973) 754-1010

Accepted Insurance

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

Heidar J Albandar 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 ID7810201670
PECOS Enrollment IDI20210622001242
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
809 services233 patients
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.
212 services148 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
52 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services38 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
701 OSTRUM ST STE 501
FOUNTAIN HILL, PA 18015
Nurse Practitioner
701 OSTRUM ST STE 501
FOUNTAIN HILL, PA 18015
Nurse Practitioner
701 OSTRUM ST STE 501
FOUNTAIN HILL, PA 18015
Family Medicine (Hospice and Palliative Medicine)
701 OSTRUM ST STE 501
FOUNTAIN HILL, PA 18015
Internal Medicine
701 OSTRUM ST STE 501
FOUNTAIN HILL, PA 18015

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 Heidar Albandar's NPI number?

The NPI number for Heidar Albandar is 1659766889. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Heidar Albandar located?

Heidar Albandar practices at 701 Ostrum St Ste 501, Fountain Hill, PA 18015. The listed phone number is (484) 503-7000.

What is Heidar Albandar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Heidar Albandar enrolled in Medicare?

Yes. Heidar Albandar 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.

What insurance does Heidar Albandar accept?

Health plans from CareSource list Heidar Albandar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heidar Albandar affiliated with any hospitals?

According to CMS data, Heidar Albandar is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, St Luke's Hospital - Monroe Campus and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Heidar Albandar was last updated on December 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.