Organization Active NPI

Capital Arthritis and Rheumatology Associates, LLC

  • Rheumatology Physician
  • Harrisburg, PA
National Provider Identifier
1417253113
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD438307 Issued in PA
Legal business name
CAPITAL ARTHRITIS AND RHEUMATOLOGY ASSOCIATES, LLC
Practice address
4250 Crums Mill Rd Ste 102
Harrisburg, PA 17112-2889
Phone
(717) 652-1051
Fax
(717) 652-1057
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Natalie Dubchak, MDNPI 1760638050
Title
Owner
Phone
(717) 652-1051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X MD438307 PA Primary

Addresses

Primary practice location

4250 Crums Mill Rd Ste 102
Harrisburg, PA 17112-2889

Mailing address

4250 Crums Mill Rd Ste 102
Harrisburg, PA 17112-2889
Phone (717) 652-1051

Other practice location 1

2405 Linglestown Rd
Harrisburg, PA 17110-9429
Phone (717) 652-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120731000273 PA Part B Supplier - Clinic/Group Practice 1254597552 Receives reassigned benefits from 2 practitioners
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

4250 Crums Mill Rd
Harrisburg, PA 17112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1417253113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 CRUMS MILL RD STE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122889",
            "telephone_number": "717-652-1051",
            "fax_number": "717-652-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CRUMS MILL RD STE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122889",
            "telephone_number": "717-652-1051",
            "fax_number": "717-652-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Linglestown Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109429",
            "country_code": "US",
            "telephone_number": "717-652-1051",
            "fax_number": "717-652-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL ARTHRITIS AND RHEUMATOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "DUBCHAK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-652-1051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD438307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.