Individual provider Active NPI

Zachary Geidel, MD

  • Sports Medicine (Family Medicine) Physician
  • Ephrata, PA
National Provider Identifier
1912058926
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD437363 Issued in PA
Practice address
4131 Oregon Pike
Ephrata, PA 17522-9550
Phone
(717) 466-2451
Fax
(717) 466-2453
NPI assigned
Jan 16, 2007
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD437363 PA
Sports Medicine (Family Medicine) Physician 207QS0010X MD437363 PA Primary

Addresses

Primary practice location

4131 Oregon Pike
Ephrata, PA 17522-9550

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 466-2451

Other practice location 1

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 466-2451

Other practice location 2

912 Russell Dr
Lebanon, PA 17042-7485
Phone (717) 272-7971

Other practice location 3

266 Granite Run Dr Ste 266
Lancaster, PA 17601-6804
Phone (717) 466-2640

Other identifiers 2

IdentifierTypeStateIssuer
1023275680001MedicaidPA
102327568MedicaidPA

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
I20090727000152 PA Practitioner - Family PracticePractitioner - Sports Medicine 0941353825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Pennsylvania State University College of Medicine, 2005
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)

25 Monument Rd
York, PA 17403-5073

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

264 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 721-8205

266 Granite Run Dr
Suite 266
Lancaster, PA 17601-6804
Phone (717) 466-2640

4131 A Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-1123

4131 Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 466-2451

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 14, 2015 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Sep 14, 2015 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

175 Martin Ave
Ste 125
Ephrata, PA 17522

4131 Oregon Pike
Ephrata, PA 17522
Phone (717) 466-2451

4131 Oregon Pike
#C
Ephrata, PA 17522

4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648

266 Granite Run Dr
Ste 266
Lancaster, PA 17601
Phone (717) 466-2640

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971

30 W Swartzville Rd
Reinholds, PA 17569
Phone (717) 466-5420

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: zgeidel@direct-address.net
  • Direct secure messaging: zgeidel14086@wellspan.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1912058926",
    "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": "717-466-2451",
            "fax_number": "717-466-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 OREGON PIKE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229550",
            "telephone_number": "717-466-2451",
            "fax_number": "717-466-2453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-466-2451",
            "fax_number": "717-715-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Russell Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427485",
            "country_code": "US",
            "telephone_number": "717-272-7971",
            "fax_number": "717-272-1241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Granite Run Dr Ste 266",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016804",
            "country_code": "US",
            "telephone_number": "717-466-2640",
            "fax_number": "717-401-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEIDEL",
        "first_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD437363",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD437363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023275680001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102327568",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.