Individual provider Active NPI

Meghan Dermody, M.D.

  • Vascular Surgery Physician
  • Lancaster, PA
National Provider Identifier
1265552608
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD450579 Issued in PA
Practice address
2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone
(717) 544-3626
NPI assigned
Mar 30, 2007
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD450579 PA
Vascular Surgery Physician 2086S0129X MD450579 PA Primary

Addresses

Primary practice location

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644

Mailing address

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3626

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
I20140806001057 PA Practitioner - Vascular Surgery 9638396203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Georgetown University School of Medicine, 2007
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)

1261 Division Hwy
Ephrata, PA 17522-8822

1261 Division Hwy 2
Ephrata, PA 17522-8822
Phone (717) 738-5544

2100 Harrisburg Pike
Suite 2112
Lancaster, PA 17601-2644
Phone (717) 544-3216

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3626

2106 Harrisburg Pike
Lancaster, PA 17601-2644

2108 Harrisburg Pike
Lancaster, PA 17601-2644

2110 Harrisburg Pike
Lancaster, PA 17601-2644

2112 Harrisburg Pike
Lancaster, PA 17601-2644

2150 Harrisburg Pike
Suite 200a
Lancaster, PA 17601-2644
Phone (717) 544-3059

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602-2250

555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Surgery Current Accepting new patients
Lancaster General Hospital CurrentSince Dec 8, 2014 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 18, 2014 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 18, 2014 Accepting new patients
Lancaster General Hospital Vascular Surgery CurrentSince Dec 8, 2014 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1261 Division Hwy
#2
Ephrata, PA 17522
Phone (717) 299-1301

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

2104 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3626

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

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

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

Interoperability endpoints

  • Direct secure messaging: mdermody118637@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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1265552608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMODY",
        "first_name": "MEGHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD450579",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD450579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.