Individual provider Active NPI

John M Smith, M.D.

  • Diagnostic Radiology Physician
  • Lancaster, PA
National Provider Identifier
1306854567
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25656 Issued in KY
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-5941
Fax
(717) 544-5907
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25656 KY Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

PO Box 4216
Lancaster, PA 17604-4216
Phone (717) 394-6028

Other identifiers 5

IdentifierTypeStateIssuer
64256563MedicaidKY
50009541MedicaidKY
000000388816OtherKYANTHEM BLUE FACET
200814750MedicaidIN
104362717MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150709002779 KY Practitioner - Diagnostic Radiology 5496643660 Reassigns benefits to 2 organizations
I20240927001687 PA Practitioner - Diagnostic Radiology 5496643660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Radiology Associates LTDGroup PAC ID 0648267526, 53 clinicians
MRI Group, LLPGroup PAC ID 3779554464, 28 clinicians

Practice addresses (Care Compare)

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4900

560 N Lime St
Lancaster, PA 17602-2216
Phone (717) 291-1016

701 Hollingsworth PL
Louisville, KY 40207-1368
Phone (717) 412-1289

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25656KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MRI Group, LLP Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Jul 22, 2013 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Sep 24, 2018 Accepting new patients
Lancaster Radiology Associates, LTD. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Sep 24, 2018 Accepting new patients
MRI Group, LLP Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Lancaster Pet Partnership, LLP Past Accepting new patients
Glasgow Radiology, PSC Diagnostic Radiology PastSince Sep 25, 1995 Accepting new patients
Sumner Radiology, PC Diagnostic Radiology PastSince Jul 1, 2011 Accepting new patients

Locations (25 of 27)

222 S 1st St
Ste 501
Louisville, KY 40202

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

424 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 291-1016

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

895 E Main St
Ephrata, PA 17522
Phone (717) 721-4585

540 N Duke St
Lancaster, PA 17602
Phone (717) 544-4950

690 Good Dr
Lancaster, PA 17601
Phone (717) 544-0700

2104 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 290-3400

675 Good Dr
Lancaster, PA 17601
Phone (717) 406-3000

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

560 N Lime St
Lancaster, PA 17602
Phone (717) 241-1016

900 E King St
Lancaster, PA 17602
Phone (717) 293-7279

538 N Queen St
Lancaster, PA 17603
Phone (267) 886-6609

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301

2104 Harrisburg Pike
Ste 4
Lancaster, PA 17601
Phone (717) 291-1016

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

1701 Cornwall Rd
Lebanon, PA 17042
Phone (717) 675-1750

600 E Main St
Lititz, PA 17543
Phone (717) 626-1171

1001 E Oregon Rd
Lititz, PA 17543
Phone (717) 569-3271

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

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 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1306854567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4216",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044216",
            "telephone_number": "717-394-6028",
            "fax_number": "717-394-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5941",
            "fax_number": "717-544-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "25656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64256563",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50009541",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE FACET",
            "identifier": "000000388816",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200814750",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104362717",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.