Individual provider Active NPI

Andrew Lichliter, MD

  • Diagnostic Radiology Physician
  • Danville, PA
National Provider Identifier
1124447107
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD486849 Issued in PA
Practice address
100 North Academy Ave
Danville, PA 17822-9800
Phone
(570) 271-6301
Fax
(570) 271-5976
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Q8099 TX
Vascular & Interventional Radiology Physician 2085R0204X 61720 TN
Diagnostic Radiology Physician 2085R0202X MD486849 PA Primary

Addresses

Primary practice location

100 North Academy Ave
Danville, PA 17822-9800

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6301

Other identifiers 1

IdentifierTypeStateIssuer
363303401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161019000725 TX Practitioner - Diagnostic Radiology 0941521561 Reassigns benefits to 1 organization
I20201202002170 TN Practitioner - Diagnostic Radiology 0941521561 Reassigns benefits to 8 organizations
I20231115001746 WI Practitioner - Diagnostic Radiology 0941521561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger Clinic 3,432 clinicians
Geisinger-HM Joint Venture LLC 426 clinicians

Practice addresses (Care Compare)

Nashville, TN 37204
Phone (570) 271-6144

4019 Albert Dr
Nashville, TN 37204-4009
Phone (570) 271-6144

Hospital & facility affiliations

  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048

Merit-based Incentive Payment System (MIPS)

Final score
76.35 of 100Reported as group
Quality
72.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486849PAMDDiagnostic Radiology Physician
61720TNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nol, LLC Diagnostic Radiology CurrentSince Oct 5, 2020 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Oct 31, 2021 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Jan 1, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jan 2, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Oct 5, 2020 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Oct 31, 2021 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 2, 2025 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Sep 6, 2016 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Oct 5, 2020 Accepting new patients
Texas Oncology PA CurrentSince Sep 6, 2016 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171

110 Saint Blaise Rd
Ste 102
Gallatin, TN 37066
Phone (615) 467-4640

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

262 New Shackle Island Rd
Ste 206
Hendersonville, TN 37075
Phone (615) 986-6050

5045 Old Hickory Blvd
Ste 100
Hermitage, TN 37076
Phone (615) 884-7674

101 Physicians Way
Ste 113
Lebanon, TN 37090

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237

1840 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 848-0488

2214 Elliston Pl
Ste 200
Nashville, TN 37203

1800 Charlotte Ave
Nashville, TN 37203

4230 Harding Pike
Ste 220
Nashville, TN 37205
Phone (615) 467-1050

2323 Crestmoor Rd
Nashville, TN 37215

28 White Bridge Pike
Ste 104
Nashville, TN 37205

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

110 N 2nd St
#A
Pulaski, TN 38478
Phone (901) 233-7448

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1124447107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6301",
            "fax_number": "570-271-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6301",
            "fax_number": "570-271-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHLITER",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q8099",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "61720",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD486849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363303401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.