Organization Active NPI

Lancaster Radiology Associates, LTD.

  • Diagnostic Radiology Physician
  • Lancaster, PA
National Provider Identifier
1669427100
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LANCASTER RADIOLOGY ASSOCIATES, LTD.
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-4900
Fax
(717) 544-5907
NPI assigned
May 23, 2006
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Dori Mowery
Title
Credentialing
Phone
(717) 412-1289

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085B0100X
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085D0003X
Neuroradiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0700X
Nuclear Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0904X
Pediatric Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085P0229X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Therapeutic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0203X
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

PO Box 4216
Lancaster, PA 17604-4216
Phone (717) 394-6028

Other identifiers 1

IdentifierTypeStateIssuer
001074260-0029MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VT, DC, KY, MD, NC, NJ, NY, IL, OH, FL, TX, MO, MA, SC, NV, CA, CO, GA19 enrollments

Enrollment records 19

Enrollment IDStateProvider typePAC IDDetails
O20040430000890 PA Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 59 practitioners
Practice locations: Lancaster, PA; Landisville, PA; Lebanon, PA; Lititz, PA; Malvern, PA; New Providence, PA; Parkesburg, PA; Quarryville, PA…
O20220430000033 VT Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: South Burlington, VT
O20230524003832 DC Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA
O20240709004605 KY Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20250201000031 MD Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Elkton, MD
O20250213000112 NC Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Sanford, NC
O20250630000307 NJ Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, NJ
O20250915001232 NY Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Mineola, NY
O20251119003726 IL Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL
O20251120002728 OH Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 2 practitioners
Practice locations: Beavercreek, OH
O20251121004273 FL Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 4 practitioners
Practice locations: Boca Raton, FL; Bonita Springs, FL; Daytona Beach, FL
O20251203002120 TX Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 4 practitioners
Practice locations: San Marcos, TX; Spring, TX; San Antonio, TX
O20251210004224 MO Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO
O20251215002505 MA Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA; Jamaica Plain, MA
O20251217001382 SC Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC
O20251231002595 NV Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20260108001302 CA Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Exeter, CA
O20260401000167 CO Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20260413002412 GA Part B Supplier - Clinic/Group Practice 0648267526 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA

National Provider Directory

National Provider Directory

Locations

538 N Queen St
Lancaster, PA 17603
Phone (267) 886-6609

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

730 Eden Rd
Ste 101
Lancaster, PA 17601
Phone (717) 519-0290

941 Wheatland Ave
Ste 100
Lancaster, PA 17603

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1669427100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4216",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044216",
            "telephone_number": "717-394-6028",
            "fax_number": "717-509-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-4900",
            "fax_number": "717-544-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER RADIOLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MOWERY",
        "authorized_official_first_name": "DORI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "717-412-1289"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001074260-0029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.