Scott W Michelitch, MD
Individual provider Active NPI Diagnostic Radiology Physician · Lewisberry, PA
NPI 1497967657 · NPPES record last updated Jan 17, 2012
Key facts
- NPI
- 1497967657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD434244 (PA)
- Practice address
- 629-D Lowther Road
Lewisberry, PA 17339-9527 - Phone
- (717) 932-5200
- Fax
- (717) 932-3095
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 15
Medicare Care Compare profile
- 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
- Quantum Imaging and Therapeutic Associates Inc
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
- Upmc Pinnacle Hospitals
- Upmc Carlisle
- Upmc Hanover
- Upmc Memorial
- Upmc Lititz
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080721000067 | PA | Practitioner - Diagnostic Radiology | 5092888396 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT184112 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Diagnostic Radiology | Current |
Accepting new patients |
| Penn State Health Medical Group, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Quantum Imaging & Therapeutic Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Alpha Diagnostics LLC | Diagnostic Radiology | Past | Accepting new patients |
| Alpha Diagnostics LLC | Past | Accepting new patients | |
| Central Pennsylvania MRI Center | 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
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD434244 | PA | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022046010001 | Medicaid | PA | |
| 415545900 | Medicaid | MD |
Other providers in Lewisberry, PA
- Douglas J. Martin
- Jennifer McCahan
- John McGurrin Jr.
- Brian Donnal McInroy
- Robert Guido Michelini
- Michelle Momose
- Lori Moore
- Richard Moser
- Richard Pershing Moser Jr.
- Elias Najem
All providers in Lewisberry, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.