NPIMap

Individual provider Active NPI

Dale Whitebloom, DO

  • Gastroenterology Physician
  • Lancaster, PA
National Provider Identifier
1144310608
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS007107E Issued in PA
Practice address
2112 Harrisburg Pike Ste 202
Lancaster, PA 17601-2644
Phone
(717) 869-4600
Fax
(717) 544-3501
NPI assigned
Oct 13, 2006
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS007107E PA Primary

Addresses

Primary practice location

2112 Harrisburg Pike Ste 202
Lancaster, PA 17601-2644

Mailing address

2112 Harrisburg Pike Ste 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

Other practice location 1

2104 Harrisburg Pike Ste 300
Lancaster, PA 17601-2644
Phone (717) 544-3400

Other identifiers 2

IdentifierTypeStateIssuer
0012063500013MedicaidPA
0012063500014MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100222000163 PA Practitioner - Gastroenterology 0547163750 Reassigns benefits to 3 organizations
I20240628002341 DE Practitioner - Gastroenterology 0547163750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Chicago College of Osteopathy, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

4140 Oregon Pike
Ephrata, PA 17522-9405
Phone (717) 869-4600

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5935

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007107EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Aug 7, 1990 Accepting new patients
Carlisle Digestive Disease Associates, LTD. Gastroenterology Current Accepting new patients
Lancaster General Hospital Gastroenterology CurrentSince May 1, 2024 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Aug 7, 1990 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Carlisle Anesthesia Associates LLC CurrentSince May 22, 2020 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Oct 1, 2011 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Ephrata Community Hospital PastSince Dec 24, 2003 Accepting new patients

Locations

4140 Oregon Pike
Ephrata, PA 17522
Phone (717) 544-3400

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2112 Harrisburg Pike
#100
Lancaster, PA 17601
Phone (717) 290-5000

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

Interoperability endpoints

  • Direct secure messaging: dwhitebloom11044@direct-lghealth.org

Organizations & group practices 11

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

Hospital & facility affiliations 10

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1144310608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 202",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-869-4600",
            "fax_number": "717-544-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 202",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-869-4600",
            "fax_number": "717-544-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 Harrisburg Pike Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012644",
            "country_code": "US",
            "telephone_number": "717-544-3400",
            "fax_number": "717-544-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEBLOOM",
        "first_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS007107E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012063500013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012063500014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.