NPIMap

Individual provider Active NPI

John David Powell Jr., MD

  • Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1619169042
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD447851 Issued in PA
Practice address
875 S Arlington Ave
Harrisburg, PA 17109-5004
Phone
(717) 652-1107
Fax
(717) 652-1142
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 293364 NY
Surgery Physician 208600000X MD447851 PA Primary

Addresses

Primary practice location

875 S Arlington Ave
Harrisburg, PA 17109-5004

Mailing address

875 S Arlington Ave
Harrisburg, PA 17109-5004
Phone (717) 652-1107

Other practice location 1

1600 6th Ave Ste 115
York, PA 17403-2627
Phone (717) 849-2804

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address john.powelljrmd.p1@direct.crystalrun.nextgenshare.com Direct
Direct Messaging Address jpowell222064@phsdirect.pinnaclehealth.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130824000103 PA Practitioner - General Surgery 8123261013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

875 S Arlington Ave
Upmc Central Pennsylvania Surgical Associat
Harrisburg, PA 17109-5004
Phone (717) 652-1107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293364NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2022 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

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

875 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 652-1107

1600 6th Ave
Ste 114
York, PA 17403
Phone (717) 755-1244

1600 6th Ave
Ste 115
York, PA 17403
Phone (717) 755-1244

Interoperability endpoints

  • Direct secure messaging: jpowell299918@upmc.direct-ci.com

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1619169042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095004",
            "telephone_number": "717-652-1107",
            "fax_number": "717-652-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095004",
            "telephone_number": "717-652-1107",
            "fax_number": "717-652-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 6th Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032627",
            "country_code": "US",
            "telephone_number": "717-849-2804",
            "fax_number": "717-850-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "293364",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD447851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.powelljrmd.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Route 300",
            "city": "Newburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125505003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpowell222064@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "875 S Arlington Ave",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.