Individual provider Active NPI

Andrew Weidner Ertel, M.D.

  • Cardiovascular Disease Physician
  • York, PA
National Provider Identifier
1679720718
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD478977 Issued in PA
Practice address
30 Monument Rd Ste 1100
York, PA 17403-5024
Phone
(717) 851-2441
Fax
(717) 260-3322
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X FE1879987 PA
Cardiovascular Disease Physician 207RC0000X MD042540 DC
Cardiovascular Disease Physician 207RC0000X MD478977 PA Primary

Addresses

Primary practice location

30 Monument Rd Ste 1100
York, PA 17403-5024

Mailing address

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

Other practice location 1

140 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 291-0700

Other practice location 2

110 Irving St NW
Room NA-1041
Washington, DC 20010-3017
Phone (202) 877-9090

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
I20220818002688 PA Practitioner - Cardiovascular Disease (Cardiology) 0143451732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

1001 S George St
York, PA 17403-3676

1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465

12 St Paul Dr
Chambersburg, PA 17201-1035

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-7559

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 812-2480

35 Monument Rd
York, PA 17403-5074

4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751

40 V Twin Dr
Gettysburg, PA 17325-7878

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042540DCMDCardiovascular Disease Physician
MD478977PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 6, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Sep 6, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

140 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 291-0700

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

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

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

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

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

1001 S George St
York, PA 17403
Phone (717) 812-7687

Interoperability endpoints

  • Direct secure messaging: aertel301654@wellspan.direct-ci.com

Organizations & group practices 3

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 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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1679720718",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MONUMENT RD STE 1100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035024",
            "telephone_number": "717-851-2441",
            "fax_number": "717-260-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "17601",
            "country_code": "US",
            "telephone_number": "717-291-0700",
            "fax_number": "717-207-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Irving St NW",
            "address_2": "Room NA-1041",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERTEL",
        "first_name": "ANDREW",
        "middle_name": "WEIDNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "FE1879987",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD042540",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD478977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.