Individual provider Active NPI

Ben E Montgomery, MD

  • Obstetrics & Gynecology Physician
  • Hanover, PA
National Provider Identifier
1255328076
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD420747 Issued in PA
Practice address
1227 Baltimore St
Hanover, PA 17331-4406
Phone
(717) 633-1433
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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 MD420747 PA Primary

Addresses

Primary practice location

1227 Baltimore St
Hanover, PA 17331-4406

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

13515 Wolfe Rd Ste D
New Freedom, PA 17349-9346
Phone (717) 812-2540

Other practice location 2

3992 Carlisle Rd
Dover, PA 17315-3506
Phone (717) 851-7260

Other practice location 3

4222 Lincoln Hwy
York, PA 17406-8083
Phone (717) 812-7800

Other practice location 4

2050 S Queen St
Suite 200
York, PA 17403-4829
Phone (717) 812-2316

Other practice location 5

1001 S George St
York, PA 17403-3676
Phone (717) 851-2348

Other identifiers 1

IdentifierTypeStateIssuer
101350900MedicaidPA

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
I20050823000871 PA Practitioner - Obstetrics/Gynecology 4789650326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 633-1433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420747PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Current Accepting new patients
York Hospital CurrentSince Jun 20, 2016 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2012 Accepting new patients
Berwick Clinic Company LLC Obstetrics & Gynecology CurrentSince Apr 1, 2013 Accepting new patients
Wellspan Medical Group CurrentSince Jun 20, 2016 Accepting new patients
Wellspan Medical Group CurrentSince Jun 20, 2016 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2012 Accepting new patients

Locations

410 Glen Ave
Ste 2
Bloomsburg, PA 17815
Phone (570) 387-2144

100 N Academy Ave
Danville, PA 17822

3130 Grandview Rd
Hanover, PA 17331
Phone (717) 633-1433

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

13515 Wolfe Rd
New Freedom, PA 17349
Phone (717) 812-2501

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

1001 S George St
York, PA 17403
Phone (717) 812-7687

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

3992 Carlisle Rd
York, PA 17315
Phone (717) 292-7494

1101 Edgar St
York, PA 17403
Phone (717) 812-4602

4222 Lincoln Hwy
York, PA 17406
Phone (717) 812-2050

2050 S Queen St
#200
York, PA 17403
Phone (717) 812-2316

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4
  • Direct secure messaging: bmontgomery14167@wellspan.direct-ci.com

Organizations & group practices 9

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 4

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1255328076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 BALTIMORE ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173314406",
            "telephone_number": "717-633-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13515 Wolfe Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499346",
            "country_code": "US",
            "telephone_number": "717-812-2540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3992 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153506",
            "country_code": "US",
            "telephone_number": "717-851-7260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4222 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174068083",
            "country_code": "US",
            "telephone_number": "717-812-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Queen St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-2316",
            "fax_number": "717-848-5540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD420747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101350900",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.