NPIMap

Individual provider Active NPI

Kent Alexander Meldrum, M.D.

  • Obstetrics Physician
  • Lancaster, PA
National Provider Identifier
1205900479
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD445739 Issued in PA
Practice address
694 Good Dr
Suite 112
Lancaster, PA 17601-2433
Phone
(717) 397-8177
Fax
(717) 397-2426
NPI assigned
Nov 20, 2006
Last updated
Apr 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD445739 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
Phone (717) 397-8177

Other identifiers 1

IdentifierTypeStateIssuer
102740024MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000600 PA Practitioner - Obstetrics/Gynecology 4284890518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2002
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Susquehanna Valley Women's Health Care PC CurrentSince Aug 1, 2012 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Susquehanna Valley Women's Health Care, PC CurrentSince Aug 1, 2012 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Obstetrics Past Accepting new patients

Locations

420 Cloverleaf Rd
Elizabethtown, PA 17022

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

694 Good Dr
#112
Lancaster, PA 17601
Phone 71739781771890

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

Interoperability endpoints

  • Direct secure messaging: kmeldrum81539@direct-lghealth.org

Organizations & group practices 8

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 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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1205900479",
    "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",
            "telephone_number": "717-397-8177",
            "fax_number": "717-397-2426"
        },
        {
            "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",
            "fax_number": "717-397-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "KENT",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD445739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102740024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.