Individual provider Active NPI

Olga Chugusova, MD

  • Family Medicine Physician
  • Camp Hill, PA
National Provider Identifier
1538572789
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD462442 Issued in PA
Practice address
4400 Carlisle Pike
Camp Hill, PA 17011-4132
Phone
(717) 975-9800
Fax
(717) 975-5509
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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 MD462442 PA Primary

Addresses

Primary practice location

4400 Carlisle Pike
Camp Hill, PA 17011-4132

Mailing address

409 South Second Street Suite 2F
Harrisburg, PA 17104-1612

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
I20171005000345 PA Practitioner - Family Practice 0446546469 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
Mental Strength Ritual Pennsylvania, PLLC CurrentSince Sep 24, 2025 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Gslpg, Inc CurrentSince Jun 21, 2023 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients
St Lukes Quakertown Hospital Past Accepting new patients
St. Luke's Hospital Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

4400 Carlisle Pike
Camp Hill, PA 17011
Phone (717) 975-9800

2880 Center Valley Pkwy
Ste 610
Center Valley, PA 18034
Phone (610) 680-4703

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

3 Walnut St
Ste 205
Lemoyne, PA 17043
Phone (717) 909-0520

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: olga.chugusova@slpg.direct-sluhn.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1538572789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SOUTH SECOND STREET SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114132",
            "telephone_number": "717-975-9800",
            "fax_number": "717-975-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGUSOVA",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD462442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.