Matthew D Bacharach, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD037966E Issued in PA

Practice address

840 Tuck St
Lebanon, PA 17042

Phone

(717) 675-2545

Fax

(717) 675-2550

NPI assigned

Jan 26, 2006

Last updated

Jun 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Matthew D. Bacharach, MD

  • Surgery Physician
  • Lancaster, PA
  • NPI 1134323918

  Undersea and Hyperbaric Medicine

  NPD (past) Authorized official
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba Wellspan Family Medicine - Chanceford

  • Family Medicine Physician
  • Brogue, PA
  • NPI 1174752539
  NPD
• Lancaster Surgical Group PC

  • Surgery Physician
  • Lancaster, PA
  • NPI 1851341838
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1467422857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427477",
            "telephone_number": "717-675-2545",
            "fax_number": "717-675-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-675-2545",
            "fax_number": "717-675-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Arch St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032929",
            "country_code": "US",
            "telephone_number": "717-735-7422",
            "fax_number": "717-735-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave Ste 355",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221763",
            "country_code": "US",
            "telephone_number": "717-738-6674",
            "fax_number": "717-721-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHARACH",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "MD037966E",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD037966E",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD037966E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010942080005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Diane Attig, O.D.
• Vincent Richard Avallone Jr., D.O.
• Allen Robert Ayala, PHARM.D.
• Neri Ayllon-Vergara, CRNP
• Wendy Babitt, M.D.
• Kaitlyn Bachert, LCSW
• Andrea Bachman, CRNP
• Karen K Bachman, RD
• Samuel R Badger, CRNA
• Melanie A Baer, PSY D

• Surgery Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.