Individual provider Active NPI

Daniel Gary Megivern, MD

  • Family Medicine Physician
  • Lebanon, PA
National Provider Identifier
1528115730
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD034201E Issued in PA
Practice address
1701 Cornwall Rd
Lebanon, PA 17042-7042
Phone
(717) 675-1788
Fax
(717) 675-1800
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD034201E PA Primary

Addresses

Primary practice location

1701 Cornwall Rd
Lebanon, PA 17042-7042

Mailing address

1701 Cornwall Rd
Lebanon, PA 17042-7042
Phone (717) 675-1788

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
I20050721000728 PA Practitioner - Family Practice 0345277299 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034201EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Apr 13, 2009 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Apr 13, 2009 Accepting new patients

Locations

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

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

1701 Cornwall Rd
Lebanon, PA 17042
Phone (717) 675-1750

51 Peters Rd
Ste 101
Lititz, PA 17543
Phone (717) 381-5246

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1528115730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427042",
            "telephone_number": "717-675-1788",
            "fax_number": "717-675-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427042",
            "telephone_number": "717-675-1788",
            "fax_number": "717-675-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGIVERN",
        "first_name": "DANIEL",
        "middle_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD034201E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.