Active NPI
Jitesh Umarvadia, M.D.
- Sports Medicine (Family Medicine) Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD459798
- Practice address
- 912 Russell Dr
Lebanon, PA 17042-7485 - Phone
- (717) 272-7971
- NPI assigned
- Jun 22, 2011
- Last updated
- Oct 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD459798 | PA | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0101255944 | VA |
Addresses
Primary practice location
912 Russell Dr
Lebanon, PA 17042-7485
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
25 Monument Rd Ste 200
York, PA 17403-5049
Phone (717) 812-4090
Other practice location 2
4131 Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 466-2451
Other practice location 3
2319 S George St
York, PA 17403-5009
Phone (717) 812-4090
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Cranberry Township, PA 16066-5238
912 Russell Dr
Lebanon, PA 17042-7485
Phone (717) 272-7971
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- jumarvadia13683@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Family Medicine - Granite Run
- Family Medicine Physician
- Lancaster, PA
- NPI 1619427101
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Ephrata Community Hospital
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
dba Ephrata Hospitalist Group
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
dba WellSpan Ephrata Community Hospital
- Clinic/Center
- Ephrata, PA
- NPI 1548423684
Hospital
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1851687362",
"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": "912 RUSSELL DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427485",
"telephone_number": "717-272-7971"
}
],
"practiceLocations": [
{
"address_1": "25 Monument Rd Ste 200",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035049",
"country_code": "US",
"telephone_number": "717-812-4090",
"fax_number": "717-741-3554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4131 Oregon Pike",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229550",
"country_code": "US",
"telephone_number": "717-466-2451",
"fax_number": "717-466-2453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2319 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035009",
"country_code": "US",
"telephone_number": "717-812-4090",
"fax_number": "717-741-3554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UMARVADIA",
"first_name": "JITESH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "MD459798",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "VA",
"license": "0101255944",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.