Individual provider Active NPI

John Charles Nawa, M.D.

  • Diagnostic Radiology Physician
  • Ephrata, PA
National Provider Identifier
1073516233
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD049731L Issued in PA
Practice address
169 Martin Ave
Ephrata Community Hospital, Imaging Dept
Ephrata, PA 17522-1724
Phone
(717) 738-6414
Fax
(717) 738-6690
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD049731L PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata Community Hospital, Imaging Dept
Ephrata, PA 17522-1724

Mailing address

601 Memory LN
York, PA 17402-2231

Other practice location 1

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0785

Other practice location 2

1201 Letort Springs Way
Carlisle, PA 17015-8011
Phone (717) 674-7600

Other practice location 3

460 N Reading Rd
Ephrata, PA 17522-9606
Phone (717) 721-4840

Other practice location 4

14781 Wolfe Rd
New Freedom, PA 17349-9571
Phone (717) 326-1880

Other practice location 5

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4207

Other practice location 6

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7732

Other practice location 7

35 Monument Rd Ste 201
York, PA 17403-5074
Phone (717) 812-4083

Other practice location 8

36 Robinhood Dr
Etters, PA 17319-9528
Phone (717) 388-7300

Other identifiers 1

IdentifierTypeStateIssuer
1597065MedicaidPA

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
I20100604000619 PA Practitioner - Diagnostic Radiology 7810027638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hahnemann University College of Medicine, 1990
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)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 721-4740

Hospital & facility affiliations

  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Oct 20, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Oct 20, 2017 Accepting new patients
Kapiolani Radiology Services LLC Diagnostic Radiology Past Accepting new patients
Telerad of Pennsylvania Account Management Diagnostic Radiology Past Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

460 N Reading Rd
Ephrata, PA 17522
Phone (717) 721-4840

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

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

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

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

35 Monument Rd
Ste 201
York, PA 17403
Phone (717) 812-3712

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

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

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

Interoperability endpoints

  • Direct secure messaging: jnawa5533@wellspan.direct-ci.com

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1073516233",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "address_2": "EPHRATA COMMUNITY HOSPITAL, IMAGING DEPT",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724",
            "telephone_number": "717-738-6414",
            "fax_number": "717-738-6690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Letort Springs Way",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170158011",
            "country_code": "US",
            "telephone_number": "717-674-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229606",
            "country_code": "US",
            "telephone_number": "717-721-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14781 Wolfe Rd",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499571",
            "country_code": "US",
            "telephone_number": "717-326-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-337-4207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Monument Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035074",
            "country_code": "US",
            "telephone_number": "717-812-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Robinhood Dr",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173199528",
            "country_code": "US",
            "telephone_number": "717-388-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAWA",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD049731L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1597065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.