Individual provider Active NPI

Kathleen Lewis Elnaggar, MD

  • Psychiatry Physician
  • Lebanon, PA
National Provider Identifier
1679799845
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD052007L Issued in PA
Practice address
283 S Butler Rd
Lebanon, PA 17042-8939
Phone
(717) 270-2405
Fax
(717) 279-2781
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD052007L PA Primary

Addresses

Primary practice location

283 S Butler Rd
Lebanon, PA 17042-8939

Mailing address

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

Other practice location 1

101 Euclid Ave
Lancaster, PA 17603-6803
Phone (717) 273-8871

Other practice location 2

239 W Philadelphia St
York, PA 17401-6509
Phone (717) 845-2425

Other practice location 3

315 W James St
Lancaster, PA 17603-2979
Phone (717) 509-0625

Other practice location 4

150 Roosevelt Ave
York, PA 17401-3380
Phone (717) 356-5430

Other practice location 5

125 Schneider Dr
Lebanon, PA 17046-4875
Phone (717) 376-1020

Other identifiers 2

IdentifierTypeStateIssuer
11009820OtherCAQH ID
001441028MedicaidPA

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
I20090122000079 PA Practitioner - Psychiatry 8820152788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
PhilhavenGroup PAC ID 8729991419, 93 clinicians

Practice addresses (Care Compare)

101 Euclid Ave
Lancaster, PA 17603-6803
Phone (717) 299-1522

25 Monument Rd
York, PA 17403-5073

2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954

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

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

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD052007LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 27, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Dec 27, 2024 Accepting new patients
Philhaven Past Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 24, 2022 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

283 S Butler Rd
Lebanon, PA 17042

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

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

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

Interoperability endpoints

  • Direct secure messaging: kelnaggar38897@wellspan.direct-ci.com

Organizations & group practices 7

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1679799845",
    "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": "283 S BUTLER RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428939",
            "telephone_number": "717-270-2405",
            "fax_number": "717-279-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176036803",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 W Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174016509",
            "country_code": "US",
            "telephone_number": "717-845-2425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W James St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032979",
            "country_code": "US",
            "telephone_number": "717-509-0625",
            "fax_number": "717-839-2842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174013380",
            "country_code": "US",
            "telephone_number": "717-356-5430",
            "fax_number": "717-205-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Schneider Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170464875",
            "country_code": "US",
            "telephone_number": "717-376-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELNAGGAR",
        "first_name": "KATHLEEN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD052007L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11009820",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001441028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.