Individual provider Active NPI

Atul Bhardwaj, MD

  • Gastroenterology Physician
  • Lebanon, PA
National Provider Identifier
1477746170
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD434752 Issued in PA
Practice address
954 Isabel Dr
Lebanon, PA 17042-7482
Phone
(717) 376-1180
Fax
(717) 376-1184
NPI assigned
Aug 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD434752 PA Primary

Addresses

Primary practice location

954 Isabel Dr
Lebanon, PA 17042-7482

Mailing address

241 Alexander Spring Rd
Carlisle, PA 17015-6953
Phone (717) 245-2228

Other practice location 1

4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 738-5648

Other practice location 2

241 Alexander Spring Rd
Carlisle, PA 17015-6953
Phone (717) 245-2228 ext. 224

Other identifiers 1

IdentifierTypeStateIssuer
102196608002MedicaidPA

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
I20080725000396 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 1254404148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

954 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 273-6937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD434752PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 10, 2025 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince May 1, 2020 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jan 10, 2025 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Carlisle Endoscopy Center, LTD. PastSince Jul 1, 2014 Accepting new patients

Locations

241 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 245-2228

4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648

4150 Barrett Blvd
Ste 200
Ephrata, PA 17522
Phone (717) 738-5648

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

954 Isabel Dr
Lebanon, PA 17042
Phone (717) 376-1180

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: abhardwaj447085@wellspan.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1477746170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 ALEXANDER SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156953",
            "telephone_number": "717-245-2228",
            "fax_number": "717-245-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "717-376-1180",
            "fax_number": "717-376-1184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-738-5648",
            "fax_number": "717-327-4014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170156953",
            "country_code": "US",
            "telephone_number": "717-245-2228 x224",
            "fax_number": "717-245-0806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "ATUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-26",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD434752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102196608002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.