Organization Active NPI

Covenantmd, LLC

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1104411347
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COVENANTMD, LLC
Practice address
2811 N George St Ste a
York, PA 17406-3022
Phone
(717) 210-4880
Fax
(717) 444-3751
NPI assigned
Mar 9, 2021
Organization subpart
Yes
Parent organization
COVENANTMD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Dr. Patrick Rohal, MDNPI 1578652384
Title
Owner
Phone
(717) 287-1983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2811 N George St Ste a
York, PA 17406-3022

Mailing address

930 Red Rose CT Ste 104
Lancaster, PA 17601-1981
Phone (717) 553-3090

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2160992Covenantmd, LLC2811 N George St, Suite a, York, PA 17406Provider-performed microscopyJan 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Covenantmd LLC2 organizations share this tax ID, including this one
Part of
Covenantmd LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2811 N George St
#A
York, PA 17406
Phone (717) 210-4880

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1104411347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RED ROSE CT STE 104",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011981",
            "telephone_number": "717-553-3090",
            "fax_number": "717-614-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 N GEORGE ST STE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174063022",
            "telephone_number": "717-210-4880",
            "fax_number": "717-444-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANTMD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANTMD, LLC",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "ROHAL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-287-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.