Lancaster General Medical Group

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

LANCASTER GENERAL MEDICAL GROUP

Doing business as

Penn Medicine Lancaster General Health Physicians Specialty Medicine

Practice address

51 Peters Rd
Lititz, PA 17543-7685

Phone

(717) 627-8225

Fax

(717) 627-8226

NPI assigned

Sep 20, 2018

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Kennedy

Title

Vice President Financial Services

Phone

(717) 544-5010

Specialties & licenses 13

Addresses

Other names 1

• Penn Medicine Lancaster General Health Physicians Specialty Medicine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farman Ali, MD

  • Neurology Physician
  • Lancaster, PA
  • NPI 1164927471
  NPD
• Michael A Gelfand, MD

  • Epilepsy Physician
  • Philadelphia, PA
  • NPI 1861706525
  NPD
• Nathan Hammon

  • Registered Dietitian
  • Lititz, PA
  • NPI 1235954603
  NPD
• Christopher Kyper, MD

  • Neurocritical Care Physician
  • Lancaster, PA
  • NPI 1063946382
  NPD
• Joseph Chenhang Li, M.D.

  • Neurology Physician
  • Bryn Mawr, PA
  • NPI 1144635079
  NPD
• Carly M Meyer, CRNP

  • Nurse Practitioner
  • Lititz, PA
  • NPI 1649576000
  NPD
• Matthew Miller, PAC

  • Physician Assistant
  • Lancaster, PA
  • NPI 1770573446
  NPD
• Deepika Pradhan Shrestha, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lancaster, PA
  • NPI 1902035041
  NPD
• Sahily Reyes-Esteves, MD. PHD

  • Vascular Neurology Physician
  • Philadelphia, PA
  • NPI 1508353921
  NPD
• Ian W. Sale, PAC

  • Medical Physician Assistant
  • Bethlehem, PA
  • NPI 1568612125
  NPD
• Michael Sasso, M.D.

  • Infectious Disease Physician
  • Lancaster, PA
  • NPI 1679709257
  NPD
• Genna Julia Waldman, MD

  • Epilepsy Physician
  • Philadelphia, PA
  • NPI 1457746935
  NPD

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1245714773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PETERS RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-627-8225",
            "fax_number": "717-627-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PETERS RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-627-8225",
            "fax_number": "717-627-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "717-544-5010"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Penn Medicine Lancaster General Health Physicians Specialty Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lanaster General Hospital (Penn Medicine Occupational Medicine HealthWorks Rock Wellness)
• Lanaster General Hospital (LG Health Convenience Pharmacy Kissel Hill)
• Lancaster Dental Arts, P.C.
• Lancaster General Medical Group (Penn Medicine LGHP Family Medicine Lititz)
• Lancaster General Medical Group
• Lancaster General Medical Group (Penn Medicine Lancaster General Health Physicians Sports Medicine)
• Lancaster General Medical Group (Penn Medicine LGHP Virtual Family Medicine)
• Lancaster General Medical Group (Penn Medicine LGHP Specialty Medicine Geriatrics)
• Lancaster General Medical Group (Penn Medicine LGHP Urgent Care - Kissel Hill)
• Lancaster General Medical Group (Penn Medicine LGHP Roseville Pediatrics)

• Endocrinology, Diabetes & Metabolism Physician in Lititz, PA
• Providers in Lititz, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.