Individual provider Active NPI

Kristina Rose Tedeschi, M.D.

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
National Provider Identifier
1194712216
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD419104 Issued in PA
Practice address
694 Good Dr
Suite 112
Lancaster, PA 17601-2433
Phone
(717) 397-8177
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD419104 PA Primary

Addresses

Primary practice location

694 Good Dr
Suite 112
Lancaster, PA 17601-2433

Mailing address

694 Good Dr
Suite 112
Lancaster, PA 17601-2433

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
I20040910000771 PA Practitioner - Obstetrics/Gynecology 0840267811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

694 Good Dr
Suite 112
Lancaster, PA 17601-2433
Phone (717) 397-8177

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longmont Clinic PC Current Accepting new patients
Lancaster General Medical Group Obstetrics & Gynecology CurrentSince Nov 3, 2025 Accepting new patients
Susquehanna Valley Women'S Health Care PC Obstetrics & Gynecology CurrentSince Jan 7, 2004 Accepting new patients
Susquehanna Valley Women'S Health Care, PC Obstetrics & Gynecology CurrentSince Jan 7, 2004 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

6600 Firestone Blvd
Firestone, CO 80504
Phone (303) 649-3450

1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

694 Good Dr
#112
Lancaster, PA 17601
Phone 71739781771890

792 Lititz Pike
Lititz, PA 17543

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

Interoperability endpoints

  • Direct secure messaging: ktedeschi10819@direct-lghealth.org

Organizations & group practices 7

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 3

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1194712216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 GOOD DR",
            "address_2": "SUITE 112",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 GOOD DR",
            "address_2": "SUITE 112",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433",
            "telephone_number": "717-397-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCHI",
        "first_name": "KRISTINA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD419104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.