Active NPI
Samuel Kolman, MD
- Cardiovascular Disease Physician
- Lebanon, PA
National Provider Identifier
1174901045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD466566
- Practice address
- 775 Norman Dr
Lebanon, PA 17042-7497 - Phone
- (717) 274-5500
- Fax
- (717) 274-5189
- NPI assigned
- May 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD466566 | PA | Primary |
Addresses
Primary practice location
775 Norman Dr
Lebanon, PA 17042-7497
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191111000128 | PA | Practitioner - Cardiovascular Disease (Cardiology) | 5597092437 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Temple University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
775 Norman Dr
Wellspan Cardiology
Lebanon, PA 17042-7497
Phone (717) 274-5500
Hospital & facility affiliations
- Wellspan Good Samaritan Hospital
- Wellspan Ephrata Community Hospital
- Wellspan York Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD466566 | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
775 Norman Dr
Lebanon, PA 17042
Phone (717) 274-5500
1400 S Forge Rd
Ste 4
Palmyra, PA 17078
Phone (717) 274-5500
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- skolman363759@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Manheim, PA
- NPI 1902210289
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
Hospital
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1174901045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 NORMAN DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427497",
"telephone_number": "717-274-5500",
"fax_number": "717-274-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLMAN",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD466566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.