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FNU AMATUR RABBAL MASHARIQ
NPI 1710879010
Family Medicine in Lebanon, PA

Active since July 19, 2025PECOS Enrolled
30 N 4TH ST, LEBANON, PA 17046(717) 274-0474 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fnu Amatur Rabbal Mashariq NPPES

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

FNU AMATUR RABBAL MASHARIQ (NPI 1710879010) is an individual family medicine provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MT234370) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710879010
Entity TypeIndividual
Primary Taxonomy207Q00000X
Provider Legal NameFNU AMATUR RABBAL MASHARIQ
Location Address30 N 4TH STLebanon, PA 17046-5606
Mailing Address30 N 4th StLebanon, PA 17046-5606 · (717) 274-0474
Phone(717) 274-0474
Sole ProprietorNo
Enumeration DateJuly 19, 2025
NPPES CertifiedJuly 19, 2025
✔ NPI 1710879010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MT234370
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.

30 N 4TH ST, Lebanon, PA 17046
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fnu Amatur Rabbal Mashariq is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17046 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.

MANSEY VARGHESE MD
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
ANTHONY LAL
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
ANILA GIDWANI DPT
Physical Therapist
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 270-7500
SABA SARFRAZ
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
ILHAM AHMED UMAR
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
DR. TRAJAN BARRERA DO
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 270-1949
MATIN MOHAMMAD MD
Physical Medicine & Rehabilitation
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 270-7500
SAMANTHA M FITZPATRICK SW
Social Worker
30 N 4TH ST, 2ND FLOOR
LEBANON, PA 17046
Lebanon County (717) 274-0474

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 Fnu Amatur Rabbal Mashariq's NPI number?

The NPI number for Fnu Amatur Rabbal Mashariq is 1710879010. It was assigned to this individual provider in the NPPES registry on July 19, 2025.

Where is Fnu Amatur Rabbal Mashariq located?

Fnu Amatur Rabbal Mashariq practices at 30 N 4th St, Lebanon, PA 17046. The listed phone number is (717) 274-0474.

What is Fnu Amatur Rabbal Mashariq's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fnu Amatur Rabbal Mashariq enrolled in Medicare?

Yes. Fnu Amatur Rabbal Mashariq is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fnu Amatur Rabbal Mashariq was last updated on July 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.