Individual provider Active NPI

Joseluis Ibarra, M.D.

  • Cardiovascular Disease Physician
  • Lancaster, PA
National Provider Identifier
1558338186
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD031424E Issued in PA
Practice address
217 Harrisburg Ave
The Heart Group of Lancaster General Health
Lancaster, PA 17603-2964
Phone
(717) 544-8300
Fax
(717) 544-8265
NPI assigned
Mar 2, 2006
Last updated
May 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD031424E PA Primary

Addresses

Primary practice location

217 Harrisburg Ave
The Heart Group of Lancaster General Health
Lancaster, PA 17603-2964

Mailing address

217 Harrisburg Ave
The Heart Group of Lancaster General Health
Lancaster, PA 17603-2964
Phone (717) 544-8300

Other identifiers 1

IdentifierTypeStateIssuer
0010757770004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MRI Group, LLP Past Accepting new patients
MRI Group, LLP Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1558338186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "THE HEART GROUP OF LANCASTER GENERAL HEALTH",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "THE HEART GROUP OF LANCASTER GENERAL HEALTH",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "JOSELUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD031424E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010757770004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.