WHITEHALL MEDICAL ASSOCIATES, LLC
NPI 1760730360
Family Medicine in Whitehall, PA

Active since August 29, 2012CLIA 39D0999506 · Microscopy
525 5TH ST, WHITEHALL, PA 18052(610) 434-6678 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Whitehall Medical Associates, Llc NPPES

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

WHITEHALL MEDICAL ASSOCIATES, LLC (NPI 1760730360) is a healthcare organization registered as a family medicine in Whitehall, Pennsylvania and active in the NPI registry since August 2012. The organization holds a CLIA Microscopy certificate valid through May 14, 2028 and lists Wael Yacoub, Owner, as its authorized official.

NPPES Registry Identity

NPI1760730360
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWHITEHALL MEDICAL ASSOCIATES, LLC
Location Address525 5TH STWhitehall, PA 18052
Mailing Address525 5th StWhitehall, PA 18052 · (610) 434-6678
Organization SubpartNo
Authorized OfficialWael YacoubOwner · (610) 434-6678
Enumeration DateAugust 29, 2012
✔ NPI 1760730360 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 · MD418291
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.
525 5TH ST, Whitehall, PA 18052

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitehall Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Whitehall Medical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1770546533
450 PERSHING BLVD
Whitehall, PA 18052
(610) 434-6678
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0999506

Whitehall Medical Associates · Whitehall, PA
Active · expires May 14, 2028
CLIA Number39D0999506
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorWael Yacoub MD
Laboratory Phone(610) 434-6678
Laboratory LocationWhitehall Medical Associates525 5th Street, Whitehall, PA 18052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Whitehall Medical Associates, LLC's NPI number?

The NPI number for Whitehall Medical Associates, LLC is 1760730360. It was assigned to this organization in the NPPES registry on August 29, 2012.

Where is Whitehall Medical Associates, LLC located?

Whitehall Medical Associates, LLC is located at 525 5th St, Whitehall, PA 18052. The listed phone number is (610) 434-6678.

What is Whitehall Medical Associates, LLC's specialty?

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

Is Whitehall Medical Associates, LLC enrolled in Medicare?

Yes. Whitehall Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Whitehall Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Whitehall Medical Associates, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Whitehall Medical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0999506) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Whitehall Medical Associates, LLC was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.