NPIMap

Individual provider Active NPI

Ali Mahdavi, MD

  • Gynecologic Oncology Physician
  • York, PA
National Provider Identifier
1578628350
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD483702 Issued in PA
Practice address
25 Monument Rd Ste 295
York, PA 17403-5049
Phone
(717) 851-6120
NPI assigned
Dec 22, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35070 TN
Gynecologic Oncology Physician 207VX0201X 35070 TN
Gynecologic Oncology Physician 207VX0201X MD483702 PA Primary

Addresses

Primary practice location

25 Monument Rd Ste 295
York, PA 17403-5049

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

24 Antrim Commons Dr
Level 3
Greencastle, PA 17225-1623
Phone (717) 217-6882

Other practice location 2

2202 N John B Dennis Hwy Ste 204
Kingsport, TN 37660-5904
Phone (423) 245-1040

Other practice location 3

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 851-6120

Other practice location 4

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 851-6120

Other practice location 5

450 S Washington St
Gettysburg, PA 17325-2500
Phone (717) 851-6120

Other identifiers 3

IdentifierTypeStateIssuer
1578628350OtherWIBCBSWI
1578628350MedicaidWI
MAHDAALIOtherWIMERCYCARE INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230208002062 MD Practitioner - Obstetrics/Gynecology 3779517834 Reassigns benefits to 1 organization
I20240123000301 PA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3779517834 Reassigns benefits to 1 organization
I20260316003021 TN Practitioner - Gynecological Oncology 3779517834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WPS Providers IncGroup PAC ID 7719079532, 83 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2202 N John B Dennis Hwy
Suite 204
Kingsport, TN 37660-5904
Phone (423) 245-1040

25 Monument Rd
Suite 295
York, PA 17403-5049
Phone (717) 851-6120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Removal of the uterus28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86285CAMDPharmacist
35070TNMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WPS Providers Inc CurrentSince Mar 1, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Feb 18, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Feb 18, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
York Hospital Past Accepting new patients
Brownsville Clinic Corp Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9103 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-7147

9103 Franklin Square Dr
Ste 305
Rosedale, MD 21237
Phone (443) 777-7608

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

450 S Washington St
Gettysburg, PA 17325
Phone (717) 337-4487

24 Antrim Commons Dr
#3
Greencastle, PA 17225
Phone (717) 217-6882

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

25 Monument Rd
Ste 295
York, PA 17403
Phone (717) 356-5864

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

2202 N John B Dennis Hwy
Ste 204
Kingsport, TN 37660
Phone (423) 224-3300

Interoperability endpoints

  • Direct secure messaging: amahdavi415212@wellspan.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1578628350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MONUMENT RD STE 295",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035049",
            "telephone_number": "717-851-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Dr",
            "address_2": "Level 3",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 N John B Dennis Hwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605904",
            "country_code": "US",
            "telephone_number": "423-245-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-851-6120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-851-6120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-851-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHDAVI",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-09-29",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "35070",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "35070",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD483702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1578628350",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578628350",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "MAHDAALI",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.