NPIMap

Individual provider Active NPI

Scott W Michelitch, MD

  • Diagnostic Radiology Physician
  • Lewisberry, PA
National Provider Identifier
1497967657
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD434244 Issued in PA
Practice address
629-D Lowther Road
Lewisberry, PA 17339-9527
Phone
(717) 932-5200
Fax
(717) 932-3095
NPI assigned
May 3, 2007
Last updated
Jan 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD434244 PA Primary
Diagnostic Radiology Physician 2085R0202X MT184112 PA

Addresses

Primary practice location

629-D Lowther Road
Lewisberry, PA 17339-9527

Mailing address

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

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
I20080721000067 PA Practitioner - Diagnostic Radiology 5092888396 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 932-5200

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 932-5200

318 Southview Dr
Mechanicsburg, PA 17055-5202
Phone (717) 932-5200

328 Southview Dr
Mechanicsburg, PA 17055-5202
Phone (717) 932-5200

361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 932-5200

4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Phone (717) 932-5200

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT184112PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Feb 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Nov 3, 2016 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
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2008 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Penn State Health Medical Group, LLC Current 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) 763-2461

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

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

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

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

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

Organizations & group practices 13

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 13

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1497967657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629-D LOWTHER ROAD",
            "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": "629-D LOWTHER ROAD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-932-5200",
            "fax_number": "717-932-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELITCH",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD434244",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT184112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisberry, PA

Sources for this page

Verify at the official NPI Registry.