NPIMap

Individual provider Active NPI

Kenneth L Jusko, DO

  • Diagnostic Radiology Physician
  • Lewisberry, PA
National Provider Identifier
1487805115
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS015025 Issued in PA
Practice address
629D Lowther Rd
Lewisberry, PA 17339-9527
Phone
(717) 932-5200
Fax
(717) 932-3095
NPI assigned
Sep 30, 2008
Last updated
Jan 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS015025 PA Primary

Addresses

Primary practice location

629D Lowther Rd
Lewisberry, PA 17339-9527

Mailing address

629D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200

Other identifiers 2

IdentifierTypeStateIssuer
523105100MedicaidMD
1024192490001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000142 PA Practitioner - Diagnostic Radiology 5092866038 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (717) 932-5200

334 Springhouse Dr
Lewisburg, PA 17837-9417
Phone (717) 932-5200

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 932-5200

51 Business Campus Way
Suite 100
Duncannon, PA 17020-9596
Phone (717) 932-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 30, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Feb 1, 2020 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Feb 1, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology CurrentSince Feb 6, 2010 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Dec 30, 2019 Accepting new patients
Alpha Diagnostics LLC Past Accepting new patients
Central Pennsylvania MRI Center Diagnostic Radiology Past Accepting new patients
Alpha Diagnostics LLC Diagnostic Radiology Past Accepting new patients

Locations

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

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

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

21 Susquehanna Valley Mall Dr
Ste Pt
Selinsgrove, PA 17870

Interoperability endpoints

  • Direct secure messaging: kjusko486272@wellspan.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1487805115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-932-5200",
            "fax_number": "717-932-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-932-5200",
            "fax_number": "717-932-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSKO",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS015025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523105100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024192490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisberry, PA

Sources for this page

Verify at the official NPI Registry.