NPIMap

Organization Active NPI

Penn State Health Medical Group, LLC

  • Hematology & Oncology Physician
  • Harrisburg, PA
National Provider Identifier
1861988644
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
PENN STATE HEALTH MEDICAL GROUP, LLC
Practice address
4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Phone
(717) 526-1030
Fax
(717) 526-1032
NPI assigned
Jul 5, 2018
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN STATE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Tracy L Moyer-Swinko
Title
VP and Chief Financial Officer
Phone
(717) 531-8477

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Hematology & Oncology Physician 207RH0003X Primary
Medical Oncology Physician 207RX0202X
Radiation Oncology Physician 2085R0001X
Surgical Oncology Physician 2086X0206X

Addresses

Primary practice location

4518 Union Deposit Rd
Harrisburg, PA 17111-2921

Mailing address

PO Box 825972
Philadelphia, PA 19182-5972

Other practice location 1

2200 Good Hope Rd
Enola, PA 17025-1210
Phone (717) 761-8740

Other practice location 2

2221 Noll Dr Fl 1
Lancaster, PA 17603-7614
Phone (800) 243-1455

Other practice location 3

2494 Bernville Rd Ste G04
Reading, PA 19605-9466
Phone (610) 378-2383

Other names 2

  • PSHMG - Hematology/Cancer Services Other name
  • Penn State Health Medical Group-Andrews Patel Hematology/Oncology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170907002279 PA Part B Supplier - Clinic/Group Practice 8729351077 Receives reassigned benefits from 970 practitioners
20 other NPIs on this enrollment

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Part of
Penn State Health

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3 Jennifer Ct
Ste B
Carlisle, PA 17015
Phone (717) 245-2226

90 Hope Dr
#410
Hershey, PA 17033

550 N 12th St
Ste 140
Lemoyne, PA 17043
Phone (717) 901-8000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1,186

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 1,186

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1861988644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825972",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112921",
            "telephone_number": "717-526-1030",
            "fax_number": "717-526-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Good Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251210",
            "country_code": "US",
            "telephone_number": "717-761-8740",
            "fax_number": "717-761-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Noll Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176037614",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "fax_number": "717-617-2443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2494 Bernville Rd Ste G04",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196059466",
            "country_code": "US",
            "telephone_number": "610-378-2383",
            "fax_number": "610-378-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENN STATE HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN STATE HEALTH",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "MOYER-SWINKO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP AND CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-531-8477"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSHMG - Hematology/Cancer Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn State Health Medical Group-Andrews Patel Hematology/Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.