NPIMap

Organization Active NPI

Covenantmd, LLC

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1730642786
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COVENANTMD, LLC
Practice address
930 Red Rose CT Ste 104
Lancaster, PA 17601-1981
Phone
(717) 287-1983
Fax
(717) 614-1000
NPI assigned
Apr 8, 2019
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Dr. Patrick Rohal, MDNPI 1578652384
Title
Owner
Phone
(717) 287-1983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

930 Red Rose CT Ste 104
Lancaster, PA 17601-1981

Mailing address

930 Red Rose CT Ste 104
Lancaster, PA 17601-1981
Phone (717) 287-1983

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2128440Covenantmd, LLC930 Red Rose Court, Suite 104, Lancaster, PA 17601Provider-performed microscopyMar 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Covenantmd LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

930 Red Rose Ct
Ste 104
Lancaster, PA 17601
Phone (717) 287-1983

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1730642786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RED ROSE CT STE 104",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011981",
            "telephone_number": "717-287-1983",
            "fax_number": "717-614-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 RED ROSE CT STE 104",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011981",
            "telephone_number": "717-287-1983",
            "fax_number": "717-614-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANTMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "ROHAL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-287-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.