Active NPI
Samuel D D'Agata, MD
- Orthopaedic Surgery Physician
- Hanover, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD043979E
- Practice address
- 1227 Baltimore St
Hanover, PA 17331-4406 - Phone
- (717) 812-7559
- Fax
- (717) 632-2422
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD043979E | PA | Primary |
Addresses
Primary practice location
1227 Baltimore St
Hanover, PA 17331-4406
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
2319 S George St
York, PA 17403-5009
Phone (717) 812-4090
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1519968 | Other | PA | GATEWAY |
| 30112674 | Other | PA | AMERIHEALTH MERCY - WMG |
| 001172799 | Medicaid | PA | |
| 416732 | Other | PA | HIGHMARK BLUE SHIELD |
| 418249 | Other | PA | UPMC |
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
- Orthopedic Surgery
- Education
- Tufts University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Blooming Grove Rd
Hanover, PA 17331-7917
Phone (717) 812-7559
Hospital & facility affiliations
- Wellspan York Hospital
- Gettysburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043979E | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Orthopaedic Associates | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
207 Blooming Grove Rd
Hanover, PA 17331
Phone (717) 637-6356
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
2319 S George St
York, PA 17403
Phone (717) 747-9911
Interoperability endpoints
- sdagata13979@wellspan.direct-ci.com
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Surgical Physician Assistant
- Hanover, PA
- NPI 1952697526
-
- Clinic/Center
- York, PA
- NPI 1063981686
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1437158599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 BALTIMORE ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173314406",
"telephone_number": "717-812-7559",
"fax_number": "717-632-2422"
}
],
"practiceLocations": [
{
"address_1": "2319 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035009",
"country_code": "US",
"telephone_number": "717-812-4090",
"fax_number": "717-741-3554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'AGATA",
"first_name": "SAMUEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD043979E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1519968",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WMG",
"identifier": "30112674",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001172799",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "416732",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "418249",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.