Individual provider Active NPI

Roy E Monsour, MD

  • Emergency Medicine Physician
  • Mechanicsburg, PA
National Provider Identifier
1477552883
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD035202L Issued in PA
Practice address
2025 Technology Pkwy Ste 301
Mechanicsburg, PA 17050-9402
Phone
(717) 642-5666
Fax
(717) 642-4292
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X MD035202L PA
Emergency Medicine Physician 207P00000X MD035202L PA Primary

Addresses

Primary practice location

2025 Technology Pkwy Ste 301
Mechanicsburg, PA 17050-9402

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

Other identifiers 4

IdentifierTypeStateIssuer
50076402OtherPACAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN
64768OtherPAGEISINGER HEALTH PLAN
000175361OtherPAHIGHMARK BLUE SHIELD
000962488MedicaidPA

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
I20040916000895 PA Practitioner - Emergency Medicine 4385611441 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035202LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince May 7, 2015 Accepting new patients
Integrated Wound Specialists of Pennsylvania, LLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince May 7, 2015 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

19 Sprint Dr
Ste 2
Carlisle, PA 17015
Phone (717) 218-8880

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2645 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-4650

2025 Technology Pkwy
Ste G07
Mechanicsburg, PA 17050
Phone (717) 791-2440

2015 Technology Pkwy
Ste G7
Mechanicsburg, PA 17050
Phone (717) 791-2440

2015 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2474

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

600 Commerce Blvd
Fl 2
Stroudsburg, PA 18360
Phone (570) 426-6810

Organizations & group practices 6

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1477552883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY STE 301",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509402",
            "telephone_number": "717-642-5666",
            "fax_number": "717-642-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSOUR",
        "first_name": "ROY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "MD035202L",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD035202L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN",
            "identifier": "50076402",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "64768",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000175361",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000962488",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.