Individual provider Active NPI

Leo George Dorozynsky

  • Psychiatry Physician
  • Lancaster, PA
National Provider Identifier
1528068137
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD022640E Issued in PA
Practice address
802 New Holland Ave
Lancaster, PA 17602-2287
Phone
(717) 560-3782
Fax
(717) 560-3787
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Behavioral Health Hospital LLC 14 clinicians

Practice addresses (Care Compare)

333 Harrisburg Ave
Lancaster, PA 17603-2951
Phone (717) 925-2750

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
I20050815000166 PA Practitioner - Psychiatry 2860422409 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Behavioral Health Hospital LLC CurrentSince Jun 20, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 27, 2008 Accepting new patients
Lancaster General Medical Group Psychiatry Current Accepting new patients
Lancaster General Medical Group CurrentSince Aug 27, 2008 Accepting new patients
Lancaster Hma Physician Management, LLC Psychiatry Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

802 New Holland Ave
Lancaster, PA 17602
Phone (717) 544-9438

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

802 New Holland Ave
Ste 100
Lancaster, PA 17602
Phone (717) 544-1427

51 Peters Rd
Ste 200
Lititz, PA 17543
Phone (717) 626-2167

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD022640E PA Primary

Addresses

NPPES NPI Registry

Primary practice location

802 New Holland Ave
Lancaster, PA 17602-2287

Mailing address

802 New Holland Ave
Lancaster, PA 17602-2287
Phone (717) 560-3782

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1013335980001MedicaidPA
1227224MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2012.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1528068137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022287",
            "telephone_number": "717-560-3782",
            "fax_number": "717-560-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022287",
            "telephone_number": "717-560-3782",
            "fax_number": "717-560-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROZYNSKY",
        "first_name": "LEO",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD022640E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013335980001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1227224",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.