Individual provider Active NPI

Ben Z Roitberg, MD

  • Neurological Surgery Physician
  • Lebanon, PA
National Provider Identifier
1013929694
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD478860 Issued in PA
Practice address
956 Isabel Dr
Lebanon, PA 17042-7482
Phone
(717) 639-2255
Fax
(717) 675-2583
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036-095399 IL
Neurological Surgery Physician 207T00000X 35-129747 OH
Neurological Surgery Physician 207T00000X BR7060748 PA
Neurological Surgery Physician 207T00000X MD478860 PA Primary

Addresses

Primary practice location

956 Isabel Dr
Lebanon, PA 17042-7482

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

228 Saint Charles Way Ste 300
York, PA 17402-4661
Phone (717) 812-5400

Other practice location 2

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Other practice location 3

368 W Main St
Leola, PA 17540-1761
Phone (717) 721-4280

Other practice location 4

207 W Fulton St
Ephrata, PA 17522-1902
Phone (717) 721-4280

Other practice location 5

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 721-4280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address broitberg123804@direct.metrohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809002923 PA Practitioner - Neurosurgery 7517977507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

956 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 639-3640

Hospital & facility affiliations

  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-095399ILMDNeurological Surgery Physician
35-129747OHMDNeurological Surgery Physician
MD478860PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 11, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jul 11, 2022 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

207 W Fulton St
Ephrata, PA 17522
Phone (717) 721-8789

6375 Chambersburg Rd
Fayetteville, PA 17222
Phone (717) 352-2721

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

368 W Main St
Leola, PA 17540
Phone (717) 656-6122

956 Isabel Dr
North Cornwall, PA 17042
Phone (717) 272-4104

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

228 Saint Charles Way
Ste 300
York, PA 17402
Phone (717) 812-2055

Interoperability endpoints

  • Direct secure messaging: broitberg301078@wellspan.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1013929694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "717-639-2255",
            "fax_number": "717-675-2583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Saint Charles Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024661",
            "country_code": "US",
            "telephone_number": "717-812-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 W Main St",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175401761",
            "country_code": "US",
            "telephone_number": "717-721-4280",
            "fax_number": "717-207-8905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221902",
            "country_code": "US",
            "telephone_number": "717-721-4280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-721-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROITBERG",
        "first_name": "BEN",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036-095399",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35-129747",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "BR7060748",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD478860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "broitberg123804@direct.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.