NPIMap

Individual provider Active NPI

Marina Tilich, MD

  • Family Medicine Physician
  • Ephrata, PA
National Provider Identifier
1922327659
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD450977 Issued in PA
Practice address
895 E Main St
Ephrata, PA 17522-2545
Phone
(717) 721-4585
Fax
(717) 721-4597
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD450977 PA Primary

Addresses

Primary practice location

895 E Main St
Ephrata, PA 17522-2545

Mailing address

895 E Main St
Ephrata, PA 17522-2545
Phone (717) 721-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001952 PA Practitioner - Family Practice 9638392905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (215) 615-2222

301 S 7TH Ave
Suite 200
West Reading, PA 19611-1410
Phone (484) 626-8198

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 11, 2017 Accepting new patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Reading Hospital CurrentSince Sep 1, 2017 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Reading Hospital Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

895 E Main St
Ephrata, PA 17522
Phone (717) 721-4585

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

301 S 7th Ave
Ste 200
West Reading, PA 19611
Phone (484) 626-8198

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

Interoperability endpoints

  • Direct secure messaging: mtilich171546@direct-lghealth.org

Organizations & group practices 9

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 9

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922327659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222545",
            "telephone_number": "717-721-4585",
            "fax_number": "717-721-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222545",
            "telephone_number": "717-721-4585",
            "fax_number": "717-721-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILICH",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD450977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.