Individual provider Active NPI

Carly Marissa Zareba, MD

  • Emergency Medicine Physician
  • Lancaster, PA
National Provider Identifier
1376003194
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD476856 Issued in PA
Practice address
2160 State Rd
Lancaster, PA 17601-1812
Phone
(223) 287-8222
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD476856 PA Primary

Addresses

Primary practice location

2160 State Rd
Lancaster, PA 17601-1812

Mailing address

116 Savannah Dr
Hummelstown, PA 17036-7826
Phone (609) 703-7157

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
I20220825000021 PA Practitioner - Emergency Medicine 1254668114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD476856PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Sep 12, 2022 Accepting new patients
Penn State Health Medical Group, LLC Emergency Medicine CurrentSince Sep 12, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients

Locations

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1376003194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SAVANNAH DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367826",
            "telephone_number": "609-703-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 STATE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011812",
            "telephone_number": "223-287-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAREBA",
        "first_name": "CARLY",
        "middle_name": "MARISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD476856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.