Individual provider Active NPI

Karen E Smith-Coleman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lancaster, PA
National Provider Identifier
1932116175
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD436274 Issued in PA
Practice address
2104 Harrisburg Pike
Lancaster, PA 17601-2644
Phone
(717) 544-5923
Fax
(302) 629-9837
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C10011419 DE
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 050774 GA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD436274 PA Primary

Addresses

Primary practice location

2104 Harrisburg Pike
Lancaster, PA 17601-2644

Mailing address

2104 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-5923

Other identifiers 2

IdentifierTypeStateIssuer
102324790MedicaidPA
1932116175MedicaidDE

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
I20090722000093 PA Practitioner - Endocrinology 1052463072 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10011419DEMDEndocrinology, Diabetes & Metabolism Physician
050774GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. CurrentSince Nov 11, 2013 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 17, 2020 Accepting new patients
Lancaster General Medical Group Endocrinology, Diabetes & Metabolism CurrentSince Sep 17, 2020 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Temple Physicians Inc Current Accepting new patients
Temple Physicians Inc. CurrentSince Nov 11, 2013 Accepting new patients
Etowah Regional Medical Services PC Endocrinology, Diabetes & Metabolism Current Accepting new patients

Locations

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

426 Cloverleaf Rd
#D
Elizabethtown, PA 17022
Phone (717) 544-3059

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

690 Good Dr
Fl 2
Lancaster, PA 17601
Phone (717) 544-0700

2112 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 544-3059

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

2301 E Allegheny Ave
#140A
Philadelphia, PA 19134
Phone (215) 926-3780

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1932116175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-5923",
            "fax_number": "302-629-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-5923",
            "fax_number": "302-629-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-COLEMAN",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C10011419",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "050774",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD436274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102324790",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932116175",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.