Active NPI
Adrian Mauricio Garza Gangemi, MD
- Urology Physician
- Camp Hill, PA
National Provider Identifier
1417771080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD492065
- Practice address
- 429 N 21St St
Camp Hill, PA 17011-2202 - Phone
- (717) 761-7244
- Fax
- (717) 312-3094
- NPI assigned
- Nov 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD492065 | PA | Primary |
| Urology Physician | 208800000X | LT001041 | PA |
Addresses
Primary practice location
429 N 21St St
Camp Hill, PA 17011-2202
Mailing address
429 N 21St St
Camp Hill, PA 17011-2202
Phone (717) 761-7244
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
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
- Urology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
429 N 21St St
Camp Hill, PA 17011-2202
Phone (717) 761-7244
Hospital & facility affiliations
- Penn State Health Hampden Medical Center
- Penn State Health Holy Spirit Medical Center
- Penn State Health St. Joseph
- Milton S Hershey Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT001041 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients |
Locations
429 N 21st St
Camp Hill, PA 17011
Phone (717) 761-7244
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Emergency Medicine Physician
- Camp Hill, PA
- NPI 1699420273
-
- Cardiovascular Disease Physician
- Camp Hill, PA
- NPI 1134874779
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Enola, PA
- NPI 1164029658
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
- General Acute Care Hospital
- Reading, PA
- NPI 1699734665
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1417771080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 N 21ST ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112202",
"telephone_number": "717-761-7244",
"fax_number": "717-312-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 N 21ST ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112202",
"telephone_number": "717-761-7244",
"fax_number": "717-312-3094"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "800-243-1455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARZA GANGEMI",
"first_name": "ADRIAN",
"middle_name": "MAURICIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-11",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD492065",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "LT001041",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.