Active NPI
Karen A Medzoyan, MD
- Psychiatry Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD074448-L
- Practice address
- 618 Cumberland Street
Lebanon, PA 17042-5232 - Phone
- (717) 274-2741
- Fax
- (717) 274-5405
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD074448-L | PA | Primary |
Addresses
Primary practice location
618 Cumberland Street
Lebanon, PA 17042-5232
Mailing address
200 N. 7TH Street
Lebanon, PA 17046-5040
Phone (717) 273-1710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019523140006 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York at Buffalo School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 272-1653
618 Cumberland St
Lebanon, PA 17042-5232
Phone (717) 274-2741
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD074448-L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Counseling Services Inc. | Current | Accepting new patients |
Locations
632 Cumberland St
Lebanon, PA 17042
Phone (717) 273-1710
200 N 7th St
Lebanon, PA 17046
Phone (717) 272-5464
618 Cumberland St
Lebanon, PA 17042
Phone (717) 274-2741
Organizations & group practices 1
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.
-
- Counselor
- Lebanon, PA
- NPI 1669474979
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1275534729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N. 7TH STREET",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040",
"telephone_number": "717-273-1710",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 CUMBERLAND STREET",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425232",
"telephone_number": "717-274-2741",
"fax_number": "717-274-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDZOYAN",
"first_name": "KAREN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD074448-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019523140006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.